Provider Demographics
NPI:1467742189
Name:STEPHEN M. HUGGINS PSY D PC
Entity Type:Organization
Organization Name:STEPHEN M. HUGGINS PSY D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:503-939-3375
Mailing Address - Street 1:PO BOX 1061
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-1061
Mailing Address - Country:US
Mailing Address - Phone:503-939-3375
Mailing Address - Fax:503-427-1931
Practice Address - Street 1:38740 PROCTOR BLVD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-8030
Practice Address - Country:US
Practice Address - Phone:503-939-3375
Practice Address - Fax:503-427-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR846103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty