Provider Demographics
NPI:1033499363
Name:SHEFFLER, STACY CANDACE (LPC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:CANDACE
Last Name:SHEFFLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51579 COLUMBIA RIVER HWY STE I
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-8411
Mailing Address - Country:US
Mailing Address - Phone:503-543-6164
Mailing Address - Fax:503-543-6040
Practice Address - Street 1:8532 N IVANHOE ST STE 204
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-4827
Practice Address - Country:US
Practice Address - Phone:503-283-3508
Practice Address - Fax:503-283-4579
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health