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NPI Code Detail

MEDICARE: BRENDA MCNAUGHTON

MEDICARE: BRENDA MCNAUGHTON
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
1363LF0000XFamily Nurse Practitioner201501752NP-PPOR
2363L00000XNurse Practitioner201501752NP-PPOR
3363L00000XNurse Practitioner201501751RNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083009872
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MCNAUGHTON
Provider Business Mailing Address
First Line : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-325-8315
Fax Number :
Provider Business Practice Location Address
First Line : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-325-8315
Fax Number : 503-338-4198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 01/19/2026

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Directions to “ BRENDA MCNAUGHTON ” Practice Location

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