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NPI Code Detail

MEDICARE: MCKENNA HIGA

MEDICARE:   MCKENNA  HIGA
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

General Provider Information

NPI Number : 1366307746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENNA HIGA
Provider Business Mailing Address
First Line : 3624 E OAK GROVE ST
Second Line :
City : NEWBERG
State : OR
Zip : 97132-7473
Country : US
Telephone Number : 701-293-3711
Fax Number :
Provider Business Practice Location Address
First Line : 851 NE BAKER ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-4991
Country : US
Telephone Number : 503-272-1754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ MCKENNA HIGA ” Practice Location

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