Brenda L Miggins-Vaughn
Community/Behavioral Health in Portland, OR. Individual provider (NPI-1).
NPI number1235898313
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1235898313
- Entity type
- Individual (NPI-1)
- Name
- Brenda L Miggins-Vaughn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 12, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1306203831 | OR | Yes |
Practice location
4423 Ne Tillamook St # APortland, OR 97213-1317
Phone 503-850-7979 · Fax 888-501-7621
Mailing address
4423 Ne Tillamook St # APortland, OR 97213-1317
Phone 503-850-7979 · Fax 888-501-7621
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All 212 Community/Behavioral Health Agency providers in Portland · All 48,847 providers in Portland
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