Individual
CLARE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5918 NW NECANICUM WAY, PORTLAND, OR 97229-1050
(503) 707-1972
Mailing address
5918 NW NECANICUM WAY, PORTLAND, OR 97229-1050
(503) 707-1972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150.114005
IL
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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