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Heather Fogg
Mental Health Counselor in Beaverton, Oregon
NPI 1255700134

Heather Fogg is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Heather Fogg practices in Beaverton, OR. The NPI Number for Heather Fogg is 1255700134 and holds a License No. (Oregon).

The current practice location address for Heather Fogg is 1500 Nw Bethany Blvd, Beaverton, OR and can be reached out via phone at 503-567-3260.

Location: 1500 Nw Bethany Blvd, Beaverton, OR, 97282-0819
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Provider Profile Details
NPI Number
1255700134
Provider Name
Heather Fogg
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 Nw Bethany Blvd, Beaverton, OR, 97282-0819
Phone Number
503-567-3260
Fax Number
Provider Enumeration Date
09/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
1500 Nw Bethany Blvd
City
State
Zip
97006-5208
Phone Number
503-567-3260
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Nw Bethany Blvd
City
State
Zip
97006-5208
Phone Number
503-567-3260
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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