Alissa Lynn Bagan M.S., QMHP

NPI 1730374646 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1730374646
Gender Female
Enumeration Date 09/13/2007
Last Updated 11/16/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
4246 SE BELMONT ST
PORTLAND OR, 97215-1676, US
Phone (503) 445-8114
Fax
Business Location
4246 SE BELMONT ST
PORTLAND OR, 97215-1676, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Miss Alissa Lynn Bagan M.S., QMHP NPI is 1730374646, taxonomy code is 251S00000X Alissa Lynn Bagan M.S., QMHP physically located at 4246 Se Belmont St, Portland OR, 97215-1676. NPI Number Alissa Lynn Bagan M.S., QMHP has the Individual type.

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1730374646 NPI number is provided on an as is basis without warranty of any kind. 1730374646 is maintained by the National Plan & Provider Enumeration System. The contents of Alissa Lynn Bagan M.S., QMHP are for informational purposes only.