Individual
EMILY FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 953-0310
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7728
OR
Other
Enumeration date
12/18/2020
Last updated
04/22/2025
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