STACEY RUNNINGBIRD

Peer Specialist

Active Individual
NPI: 1558244558

Practice Address

9605 GRAND RONDE RD
Grand Ronde, OR 97347

Phone: (503) 879-2026

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes 24-CRM-3690 (OR)

Frequently Asked Questions

NPI 1558244558 is the National Provider Identifier for STACEY RUNNINGBIRD, a Peer Specialist provider located in Grand Ronde, OR. This NPI was enumerated on July 28, 2025.
STACEY RUNNINGBIRD practices at 9605 GRAND RONDE RD, Grand Ronde, OR 97347.

Quick Facts

NPI
1558244558
Type
Individual
Enumerated
Jul 28, 2025
Last Updated
Jul 28, 2025

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