Individual
STEFANIE J VIGIL-HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PWS
Contact information
Practice address
6000 NEW WAY, KLAMATH FALLS, OR 97601-9382
(541) 882-1487
Mailing address
3949 S. 6TH STREET, KLAMATH FALLS, OR 97603-4728
(541) 880-7841
(541) 851-3983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-24-3935
OR
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000107632
OHA
OR
Enumeration date
11/21/2022
Last updated
03/09/2026
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