Individual provider · Type 1 NPI

Stacy L. Darby, LMT

Specialist · Portland, OR

NPI number 1104100288 Active

Practice location

1016 SE 12th Ave
Portland, OR 97214-2513

Call (503) 753-2611 Map

Mailing address

4110 SE Hawthorne Blvd #126
Portland, OR 97214

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13136 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104100288

Stacy L. Darby, LMT's National Provider Identifier is 1104100288, issued on Oct 6, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2011.