IndividualActive
Dirk Stafford
NPI 1558905000 · Mental Health Counselor · Phoenix, OR
Provider details
- NPI number
- 1558905000
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (541) 535-4133
Approximate (ZIP-level) locationGet directions
Mailing address
220 Sweetbriar Dr
Talent, OR 97540-8617
Registry dates
- Enumerated
- 2019-10-28
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.