Individual
STACI WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1500 NW BETHANY BLVD # 310320, BEAVERTON, OR 97006-5208
(971) 462-5560
Mailing address
1500 NW BETHANY BLVD # 310320, BEAVERTON, OR 97006-5208
(971) 462-5560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R10724
OR
Other
Enumeration date
06/30/2022
Last updated
05/04/2025
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