Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LAVITA RUNNINGBIRD
ActiveSTACEY LAVITA RUNNINGBIRD is a Peer Specialist healthcare provider located in GRAND RONDE, Oregon. NPI 1558244558 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · GRAND RONDE, OR
Registration Details
- NPI Number
- 1558244558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2025 (0.90260286167469 yrs)
- Last Updated
- Jul 28, 2025
- License
-
24-CRM-3690 (OR)
Practice Information
- Address
-
9605 GRAND RONDE RDGRAND RONDE, OR, 973479712Browse OR providers · Browse ZIP 97347
- Phone
- 5038792026
- Fax
- 5038792071
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in GRAND RONDE, OR
| Name | Credential | NPI |
|---|---|---|
| HEIDI KATHLEEN HICINBOTHOM | — | 1023534252 |
| TRACI DIANE HAMILTON | — | 1679056436 |
| NATASHA RAE WORDEN | PEER SUPPORT | 1063107308 |
| SHELLY RAE FOX | — | 1619664711 |
| CHRISTINA MORGAN | CRM, PSS | 1851174452 |
| MICHAEL HENRY | PWS | 1154104800 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.