Provider Demographics
NPI:1831953892
Name:STEARNS, BECA MARAY
Entity type:Individual
Prefix:
First Name:BECA
Middle Name:MARAY
Last Name:STEARNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16140 ELLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-9667
Mailing Address - Country:US
Mailing Address - Phone:971-506-3177
Mailing Address - Fax:
Practice Address - Street 1:16140 ELLENDALE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-9667
Practice Address - Country:US
Practice Address - Phone:971-506-3177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator