Individual
DR. BRIDGET ELAINE FANNING-ONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1220 SW MORRISON ST, SUITE 1300, PORTLAND, OR 97205-2235
(503) 544-1868
(503) 244-7522
Mailing address
1020 SW TAYLOR ST, SUITE 325, PORTLAND, OR 97205-2543
(503) 544-1868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1629
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629
PSYCH. LICENSE NUMBER
OR
Enumeration date
11/09/2006
Last updated
11/24/2007
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