Burdick, Stacy

Burdick, Stacy is an sole proprietor health care provider with primary practice located at 1230 Westwood Dr Nw , Salem OR 97304-3749. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Burdick, Stacy can be contacted via phone (971) 208-4663.

Contact Information

Primary practice address
1230 Westwood Dr Nw Salem OR 97304-3749
Phone: (971) 208-4663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X 2054 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780399808
LBN Legal business name Burdick, Stacy
Credentials DM- BCC (2054)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2023
Last updated Feb 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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