Provider Demographics
NPI:1114065448
Name:PEIRCE, STEPHEN W (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:W
Last Name:PEIRCE
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 SW BELL RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-9042
Mailing Address - Country:US
Mailing Address - Phone:503-639-9523
Mailing Address - Fax:
Practice Address - Street 1:6745 SW HAMPTON ST
Practice Address - Street 2:STE. 200
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8394
Practice Address - Country:US
Practice Address - Phone:503-639-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0238, C0887101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health