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NPI Code Detail

MEDICARE: ASHWINI BAITMANGALKAR LPC

MEDICARE: ASHWINI BAITMANGALKAR 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 CounselorC3708OR

General Provider Information

NPI Number : 1457886087
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHWINI BAITMANGALKAR LPC
Provider Business Mailing Address
First Line : 10060 NE EVERGREEN PKWY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-6448
Country : US
Telephone Number : 35-813-2000
Fax Number :
Provider Business Practice Location Address
First Line : 10060 NE EVERGREEN PKWY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-6448
Country : US
Telephone Number : 503-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2017
Last Update Date : 06/07/2022

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Directions to “ ASHWINI BAITMANGALKAR LPC” Practice Location

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