Individual provider · Type 1 NPI

Stacy Medof, THW, PSS, PWS

Peer Specialist · Beaverton, OR

NPI number 1124902507 Active

Practice location

4200 SW 107th Ave Apt 2105
Beaverton, OR 97005-3154

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X107826 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1124902507

Stacy Medof, THW, PSS, PWS's National Provider Identifier is 1124902507, issued on Jul 31, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 31, 2025.