GRANT FAGOT

OREGON CITY, OR
NPI1710498340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-23
Last Update Date2017-10-23
Business Address
GRANT FAGOT
1002 LIBRARY CT
OREGON CITY, OR 97045-4066
Phone number: 503-655-8264
Mailing Address
GRANT FAGOT
2051 KAEN RD STE 367
OREGON CITY, OR 97045-4035
Phone number: 503-742-5300