Individual provider · Type 1 NPI

Holly Wigmore, LPC

Mental Health Counselor · Portland, OR

NPI number 1093440539 Active

Practice location

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC8931 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1093440539

Holly Wigmore, LPC's National Provider Identifier is 1093440539, issued on Jul 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 28, 2025.