person
Jodie Jan Bagley, MA
Professional Counselor in Portland, Oregon
NPI 1588941082

Jodie Jan Bagley is a Professional Counselor based in Portland, OR and is specialized in Professional. Jodie Jan Bagley practices in Portland, OR and has the professional credentials of MA. The NPI Number for Jodie Jan Bagley is 1588941082 and holds a License No. R-1935 (Oregon).

The current practice location address for Jodie Jan Bagley is 712 Se Hawthorne Blvd Ste 100, Portland, OR and can be reached out via phone at 503-913-5733 and via fax at 503-327-8005.

Location: 712 Se Hawthorne Blvd Ste 100, Portland, OR, 97214-3538
person
Provider Profile Details
NPI Number
1588941082
Provider Name
Jodie Jan Bagley
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
712 Se Hawthorne Blvd Ste 100, Portland, OR, 97214-3538
Phone Number
503-913-5733
Fax Number
503-327-8005
Provider Enumeration Date
11/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
712 Se Hawthorne Blvd Ste 100
City
State
Zip
97214-3538
Phone Number
503-913-5733
Fax Number
503-327-8005
person
Provider Business Mailing Address Details
Address
712 Se Hawthorne Blvd Ste 100
City
State
Zip
97214-3538
Phone Number
503-913-5733
Fax Number
503-327-8005
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
R-1935 (Oregon)
Definition
Definition to come...
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