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NPI Code Detail

MEDICARE: STACIE GIESE LPC

MEDICARE: STACIE GIESE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC10359OR

General Provider Information

NPI Number : 1386371664
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE GIESE LPC
Provider Business Mailing Address
First Line : 5664 NW 183RD AVE APT A
Second Line :
City : PORTLAND
State : OR
Zip : 97229-3504
Country : US
Telephone Number : 971-330-9336
Fax Number :
Provider Business Practice Location Address
First Line : 11740 SW 68TH PKWY STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-9058
Country : US
Telephone Number : 971-330-9336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2022
Last Update Date : 12/27/2025

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Directions to “ STACIE GIESE LPC” Practice Location

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