Individual
MISS ALISSA LYNN BAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4246 SE BELMONT ST, PORTLAND, OR 97215-1676
(503) 445-8114
Mailing address
4246 SE BELMONT ST, PORTLAND, OR 97215-1676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60303393
WA
106H00000X
Marriage & Family Therapist
R1909
OR
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/13/2007
Last updated
04/07/2026
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