NPI Code Details Logo

NPI 1366307746

NPI 1366307746 : MCKENNA HIGA : MCMINNVILLE, OR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366307746
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MCKENNA HIGA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2025
-----------------------------------------------------
    Last Update Date     |    12/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    851 NE BAKER ST 
-----------------------------------------------------
    City                 |    MCMINNVILLE
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97128-4991
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    503-272-1754
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3624 E OAK GROVE ST 
-----------------------------------------------------
    City                 |    NEWBERG
-----------------------------------------------------
    State                |    OR
-----------------------------------------------------
    Zip                  |    97132-7473
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-293-3711
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.