Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124902507 Individual Practitioner Female Practitioner

Stacy Medof , THW, PSS, PWS

Peer Specialist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Stacy Medof, THW, PSS, PWS is a registered healthcare professional specializing in Peer Specialist in Beaverton, OR. Practice services are available at 4200 SW 107TH AVE APT 2105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 Sw 107th Ave Apt 2105

Beaverton, OR 970053154

Telephone 8188263277

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Beaverton, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-07-31
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 107826

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2025

NPI status registered as active in NPPES database

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Updated Practice Location July 31, 2025

Registered at 4200 SW 107TH AVE APT 2105, BEAVERTON, OR 970053154 (Tel: 8188263277)

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Updated Business Mailing Address July 31, 2025

Registered at 4200 SW 107TH AVE APT 2105, BEAVERTON, OR 970053154

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Provider Name / Credentials Updated July 31, 2025

Recorded as STACY MEDOF, THW, PSS, PWS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Peer Specialist (License #107826 in OR)

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Initial NPI Registration & Enumeration July 31, 2025

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: 1124902507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2025
Last Update: July 31, 2025
Sole Proprietor: Yes

Mailing Address

4200 Sw 107th Ave Apt 2105

Beaverton, OR 970053154

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.