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NPI Code Detail

MEDICARE: ELIZABETH SCROGGINS LPC

MEDICARE: ELIZABETH SCROGGINS 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 CounselorC3788OR
2101YP2500XProfessional CounselorC3788OR

General Provider Information

NPI Number : 1154709020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SCROGGINS LPC
Provider Business Mailing Address
First Line : 345 MONMOUTH AVE N
Second Line :
City : MONMOUTH
State : OR
Zip : 97361-1329
Country : US
Telephone Number : 503-838-8313
Fax Number : 503-838-8801
Provider Business Practice Location Address
First Line : 345 MONMOUTH AVE N
Second Line :
City : MONMOUTH
State : OR
Zip : 97361-1329
Country : US
Telephone Number : 503-838-8313
Fax Number : 503-838-8801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2015
Last Update Date : 07/29/2024

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Directions to “ ELIZABETH SCROGGINS LPC” Practice Location

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