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Active NPI 1194457838 Individual Practitioner Female Practitioner

Staci Watson , MS

Counselor - Professional • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Staci Watson, MS is a registered healthcare professional specializing in Counselor - Professional in Beaverton, OR. Practice services are available at 1500 NW BETHANY BLVD # 310320 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Nw Bethany Blvd # 310320

Beaverton, OR 970065208

Telephone 9714625560

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
102 Specialists

Practicing in Beaverton, OR (2601 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR R10724

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 04, 2025

Registered at 1500 NW BETHANY BLVD # 310320, BEAVERTON, OR 970065208 (Tel: 9714625560)

📍
Updated Business Mailing Address May 04, 2025

Registered at 1500 NW BETHANY BLVD # 310320, BEAVERTON, OR 970065208 (Tel: 9714625560)

👤
Provider Name / Credentials Updated May 04, 2025

Recorded as STACI WATSON, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2025

Counselor (License #R10724 in OR)

✅
NPI Profile Active June 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2022

Registered at 4585 SW 185TH AVE, ALOHA, OR 970781557 (Tel: 5035919280)

📍
Updated Business Mailing Address June 30, 2022

Registered at 4585 SW 185TH AVE, ALOHA, OR 970781557 (Tel: 5035919280)

👤
Provider Name / Credentials Updated June 30, 2022

Recorded as STACI WATSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Counselor

🟢
Initial NPI Registration & Enumeration June 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194457838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2022
Last Update: May 04, 2025
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1500 Nw Bethany Blvd # 310320

Beaverton, OR 970065208

Phone: 9714625560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.