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NPI Code Detail

MEDICARE: MARGERY ELLEN SEGAL LPC

MEDICARE: MARGERY ELLEN SEGAL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC9542OR
2101YM0800XMental Health Counselor84460TX

General Provider Information

NPI Number : 1508254194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGERY ELLEN SEGAL LPC
Provider Business Mailing Address
First Line : 7806 N WASHBURNE AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97217-5946
Country : US
Telephone Number : 802-324-1731
Fax Number :
Provider Business Practice Location Address
First Line : 3407 S CORBETT AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97239-4621
Country : US
Telephone Number : 802-324-1731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 02/04/2026

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Directions to “ MARGERY ELLEN SEGAL LPC” Practice Location

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