STACI COWAN – NPI #1609758119
Peer Specialist

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.

STACI COWAN is a peer specialist located in PORTLAND, OR. NPPES has assigned the NPI number 1609758119 to STACI COWAN on July 24, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for STACI COWAN below.

NPI Profile for
STACI COWAN

NPI Number
1609758119
Enumeration Date

(about 11 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACI COWAN
Primary location
7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone: (503) 290-8850 Fax:
Mailing address
PO BOX 16576
PORTLAND, OR 97292-0576
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.