ALISSA LYNN BAGAN

PORTLAND, OR
NPI1730374646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: OR  R1909)
Additional Taxonomies251S00000X 
Enumeration Date2007-09-13
Last Update Date2010-11-16
Business Address
Miss ALISSA LYNN BAGAN M.S., QMHP
4246 SE BELMONT ST
PORTLAND, OR 97215-1676
Phone number: 503-445-8114
Mailing Address
Miss ALISSA LYNN BAGAN M.S., QMHP
4246 SE BELMONT ST
PORTLAND, OR 97215-1676
Phone number:
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