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NPI Code Detail

MEDICARE: MAYGEN BLESSMAN B.S.

MEDICARE: MAYGEN BLESSMAN B.S.
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 Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11013952829OTHERORNPI

General Provider Information

NPI Number : 1629401450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYGEN BLESSMAN B.S.
Provider Business Mailing Address
First Line : 820 SE HIGHWAY 101 STE C
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-2773
Country : US
Telephone Number : 541-336-2254
Fax Number : 541-336-2254
Provider Business Practice Location Address
First Line : 820 SE HIGHWAY 101 STE C
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-2773
Country : US
Telephone Number : 971-227-8696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 02/19/2026

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