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1891848081
SUE FAGAN
PORTLAND, OR
NPI
1891848081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 000032127N1)
Enumeration Date
2007-01-19
Last Update Date
2020-01-08
Business Address
SUE FAGAN FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
SUE FAGAN FNP
619 NW 6TH AVE FL 5
PORTLAND, OR 97209-3964
Phone number: 503-988-7468
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