| Stephen M. Huggins Psy D Pc | |
|
38740 Proctor Blvd Sandy OR 97055-8030 | |
| (503) 939-3375 | |
| (503) 427-1931 |
| Full Name | Stephen M. Huggins Psy D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 38740 Proctor Blvd, Sandy, Oregon |
| Authorized Official Name and Position | Stephen M. Huggins (OWNER & PRACTITIONER) |
| Authorized Official Contact | 5039393375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M. Huggins Psy D Pc Po Box 1061 Sandy OR 97055-1061 Ph: (503) 939-3375 | Stephen M. Huggins Psy D Pc 38740 Proctor Blvd Sandy OR 97055-8030 Ph: (503) 939-3375 |
| NPI Number | 1467742189 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 4688850431 |
|---|---|
| Medicare Enrollment ID | O20110512000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467742189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 846 (Oregon) | Primary |
| Provider Name | Stephen M Huggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366507030 PECOS PAC ID: 7113103979 Enrollment ID: I20110512000808 |
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