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NPI Code Detail

MEDICARE: STEPHANIE AGUILAR

MEDICARE: STEPHANIE AGUILAR
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 CounselorOR
2106S00000XBehavior Technician

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 : 1316571599
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE AGUILAR
Provider Business Mailing Address
First Line : 5408 NE 29TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97211-6244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5408 NE 29TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97211-6244
Country : US
Telephone Number : 503-853-5745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 01/20/2026

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Directions to “ STEPHANIE AGUILAR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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