NPI
Stacy Burdick
NPI 1780399808
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DM- BCC (2054) RBAI
- Type
- Individual
- Enumeration date
- 2023-01-23
- Last updated
- 2026-07-20
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Specialties
Licenses
- License FL
- 2054
- License OR
- ABA-IN-10254263
- License OR
- Number not in the file
Location
- Practice location
- 1230 Westwood Dr NW
- City
- Salem OR
- Postal code
- 97304-3749
- Phone
- (971) 208-4663
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Salem, OR. 8,121 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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