Individual
SEAN PATRICK FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660-1013
(760) 500-9659
Mailing address
4830 SE STARK ST APT 7, PORTLAND, OR 97215-1762
(760) 500-9659
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60794185
WA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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