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NPI Code Detail

MEDICARE: ELIJAH ARGUBRIGHT

MEDICARE: ELIJAH ARGUBRIGHT
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
1106S00000XBehavior TechnicianOR

General Provider Information

NPI Number : 1518809771
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIJAH ARGUBRIGHT
Provider Business Mailing Address
First Line : 22410 SE SHARON DR
Second Line :
City : DAMASCUS
State : OR
Zip : 97089-9210
Country : US
Telephone Number : 503-887-3174
Fax Number :
Provider Business Practice Location Address
First Line : 18765 SW BOONES FERRY RD STE 100
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8607
Country : US
Telephone Number : 503-612-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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