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1902361116
PAUL FAGAN
PORTLAND, OR
NPI
1902361116
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Other Name
RIVER FAGAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R4848)
Enumeration Date
2019-02-01
Last Update Date
2023-11-06
Business Address
PAUL FAGAN MA, LPC
1235 SE DIVISION ST STE 201B
PORTLAND, OR 97202-1099
Phone number: 503-917-4768
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Mailing Address
PAUL FAGAN MA, LPC
1235 SE DIVISION ST STE 201B
PORTLAND, OR 97202-1099
Phone number: 503-917-4768
Copy
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