Individual
GENA FUAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4755
(503) 571-0451
Mailing address
PO BOX 230792, PORTLAND, OR 97281-0792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6520
OR
Other
Enumeration date
03/16/2015
Last updated
09/11/2025
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