Healthcare Provider Details

I. General information

NPI: 1689700213
Provider Name (Legal Business Name): ANGELA R BIXEL MA, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA R VARGAS

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E FOOTHILLS DR
NEWBERG OR
97132-9019
US

IV. Provider business mailing address

309 E FOOTHILLS DR
NEWBERG OR
97132-9019
US

V. Phone/Fax

Practice location:
  • Phone: 503-277-0714
  • Fax:
Mailing address:
  • Phone: 503-277-0714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12-09-74
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR3245
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR9275
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: