Active NPI
Naomi Mimnaugh
- Professional Counselor
- Tualatin, OR
National Provider Identifier
1689240939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- R7476
- Practice address
- 18765 SW Boones Ferry Rd
Tualatin, OR 97062-8496 - Phone
- (503) 612-1000
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | R7476 | OR | Primary |
Addresses
Primary practice location
18765 SW Boones Ferry Rd
Tualatin, OR 97062-8496
Mailing address
8545 SW Joelle CT
Tigard, OR 97223-2427
Phone (503) 830-2044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7476 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1689240939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8545 SW JOELLE CT",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232427",
"telephone_number": "503-830-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18765 SW BOONES FERRY RD",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628496",
"telephone_number": "503-612-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMNAUGH",
"first_name": "NAOMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "R7476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.