Healthcare Provider Details

I. General information

NPI: 1366307746
Provider Name (Legal Business Name): MCKENNA HIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 NE BAKER ST
MCMINNVILLE OR
97128-4991
US

IV. Provider business mailing address

3624 E OAK GROVE ST
NEWBERG OR
97132-7473
US

V. Phone/Fax

Practice location:
  • Phone: 503-272-1754
  • Fax:
Mailing address:
  • Phone: 701-293-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: