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NPI Code Detail

MEDICARE: BRIDGET NICOLE VARGAS

MEDICARE: BRIDGET NICOLE VARGAS
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 Counselor101YM0800XOR

General Provider Information

NPI Number : 1861357485
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET NICOLE VARGAS
Provider Business Mailing Address
First Line : 14055 KENO TERRACE DR
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9017
Country : US
Telephone Number : 541-331-4340
Fax Number :
Provider Business Practice Location Address
First Line : 1515 OLD FORT RD
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9374
Country : US
Telephone Number : 541-591-6640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ BRIDGET NICOLE VARGAS ” Practice Location

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