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Minga Fannin, C-IAYT — NPI 1992523799, Portland, OR | NPI Central

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NPI 1992523799

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Minga Fannin, C-IAYT

NPI 1992523799 · Health & Wellness Coach · Portland, OR

Provider details

NPI number: 1992523799
Entity type: Individual
Primary specialty: Health & Wellness CoachOther Service Providers
Credential: C-IAYT
Sex: Female
Sole proprietor: Yes
License: 23392916 (OR)

Practice location

3605 Se 26th Ave

Portland, OR 97202-2953

Phone: (503) 234-0325

More OR providers

Mailing address

3605 Se 26th Ave

Portland, OR 97202-2953

Registry dates

Enumerated: 2024-09-30
Last updated: 2024-09-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.