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Nathanael Bagley, LPC
Professional Counselor in Portland, Oregon
NPI 1992986319

Nathanael Bagley is a Professional Counselor based in Portland, OR and is specialized in Professional. Nathanael Bagley practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Nathanael Bagley is 1992986319 and holds a License No. C2381 (Oregon).

The current practice location address for Nathanael Bagley is 712 Se Hawthorne Blvd Ste 100, Portland, OR and can be reached out via phone at 503-545-5329 and via fax at 503-327-8005.

Location: 712 Se Hawthorne Blvd Ste 100, Portland, OR, 97214-3538
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Provider Profile Details
NPI Number
1992986319
Provider Name
Nathanael Bagley
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
712 Se Hawthorne Blvd Ste 100, Portland, OR, 97214-3538
Phone Number
503-545-5329
Fax Number
503-327-8005
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2381 01 OR OREGON PROFFESSIONAL COUNSELOR LISCENSE
institution
Provider Business Practice Location Address Details
Address
712 Se Hawthorne Blvd Ste 100
City
State
Zip
97214-3538
Phone Number
503-545-5329
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
503-545-5329
Fax Number
503-327-8005
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2381 (Oregon)
Definition
Definition to come...
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