What is Quin Wogmon's NPI number?

The NPI number assigned to this healthcare provider is 1891383337, enumerated as a individual on January 8, 2021.

Where is the provider located?

The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 234-9591.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

QUIN WOGMON - NPI 1891383337 - Counselor in Portland, OR

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About Quin Wogmon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUIN WOGMON (NPI 1891383337) is an individual counselor in Portland, Oregon and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1891383337

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameQUIN WOGMON

Location Address3415 SE POWELL BLVDPortland, OR 97202-3371

Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591

Phone(503) 234-9591

Sole ProprietorNo

Enumeration DateJanuary 8, 2021

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1891383337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3415 SE POWELL BLVD, Portland, OR 97202

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