Nicole Baggett

Individual provider Active NPI Mental Health Counselor · Portland, OR

NPI 1396280269 · NPPES record last updated May 10, 2019

Key facts

NPI
1396280269
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Phone
(503) 352-2400
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Mailing address

1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Phone (503) 352-2400

Other providers in Portland, OR

All providers in Portland, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.