SUE FAGAN

PORTLAND, OR
NPI1891848081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  000032127N1)
Enumeration Date2007-01-19
Last Update Date2020-01-08
Business Address
SUE FAGAN FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
Mailing Address
SUE FAGAN FNP
619 NW 6TH AVE FL 5
PORTLAND, OR 97209-3964
Phone number: 503-988-7468