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Paula Lynn Fothergill, MS,CADCII
Counselor in Portland, Oregon
NPI 1700857497

Paula Lynn Fothergill is a Counselor based in Portland, OR. Paula Lynn Fothergill practices in Portland, OR and has the professional credentials of MS,CADCII. The NPI Number for Paula Lynn Fothergill is 1700857497 and holds a License No. 04-03-43U (Oregon).

The current practice location address for Paula Lynn Fothergill is 1776 Sw Madison St, Portland, OR and can be reached out via phone at 503-224-1044 and via fax at 503-621-2235.

Location: 1776 Sw Madison St, Portland, OR, 97201-6025
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Provider Profile Details
NPI Number
1700857497
Provider Name
Paula Lynn Fothergill
Credential
MS,CADCII
Provider Entity Type
Individual
Gender
Female
Address
1776 Sw Madison St, Portland, OR, 97201-6025
Phone Number
503-224-1044
Fax Number
503-621-2235
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126370 05 OR
institution
Provider Business Practice Location Address Details
Address
1776 Sw Madison St
City
State
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
person
Provider Business Mailing Address Details
Address
1776 Sw Madison St
City
State
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
04-03-43U (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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