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Minga Fannin, C-IAYT

Health & Wellness Coach in Portland, OR. Individual provider (NPI-1).

NPI number1992523799
StatusActive
Last updated in NPPESSep 30, 2024

Details

NPI
1992523799
Entity type
Individual (NPI-1)
Name
Minga Fannin
Credential
C-IAYT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 30, 2024
Certification date
Sep 30, 2024
Last updated
Sep 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171400000X Health & Wellness Coach23392916ORYes

Practice location

3605 Se 26th Ave
Portland, OR 97202-2953

Phone 503-234-0325

Mailing address

3605 Se 26th Ave
Portland, OR 97202-2953

Phone 503-234-0325

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