Individual
JOHN TRAVIS STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 649-5651
Mailing address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 649-5651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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