| Nathan Higa Llc | |
|
307 E 2nd St Ste 250 Newberg OR 97132-3077 | |
| (808) 772-7778 | |
| Not Available |
| Full Name | Nathan Higa Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 E 2nd St Ste 250, Newberg, Oregon |
| Authorized Official Name and Position | Nathan Higa (OWNER) |
| Authorized Official Contact | 8087727778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Higa Llc 307 E 2nd St Ste 250 Newberg OR 97132-3077 Ph: (808) 772-7778 | Nathan Higa Llc 307 E 2nd St Ste 250 Newberg OR 97132-3077 Ph: (808) 772-7778 |
| NPI Number | 1932973344 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 1153765888 |
|---|---|
| Medicare Enrollment ID | O20240221000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932973344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nathan Higa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811616071 PECOS PAC ID: 1658715388 Enrollment ID: I20240221001028 |
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