Individual
EMILY FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9201 SE FOSTER RD STE 205&206, PORTLAND, OR 97266-4644
(503) 549-4714
(503) 506-0441
Mailing address
PO BOX 90309, PORTLAND, OR 97290-0309
(503) 549-4714
(503) 506-0441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7728
OR
Other
Enumeration date
12/18/2020
Last updated
07/27/2026
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