Individual
MS. DEANNE FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
833 SW 11TH AVE STE 729, PORTLAND, OR 97205-2121
(503) 222-1486
Mailing address
833 SW 11TH AVE STE 729, PORTLAND, OR 97205-2121
(503) 222-1486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1990
OR
106H00000X
Marriage & Family Therapist
T0530
OR
Other
Enumeration date
04/18/2007
Last updated
09/11/2025
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