Individual provider · Type 1 NPI

George Vigil

Mental Health Counselor · Portland, OR

NPI number 1669656336 Active

Practice location

12511 SE Raymond St
Portland, OR 97236-3931

Call (503) 761-2580 Map

Fax (503) 761-2584

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1669656336

George Vigil's National Provider Identifier is 1669656336, issued on Dec 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 23, 2025.