Bagan, Alissa Lynn

Bagan, Alissa Lynn is an sole proprietor health care provider with primary practice located at 4246 Se Belmont St , Portland OR 97215-1676. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bagan, Alissa Lynn can be contacted via phone (503) 445-8114.

Contact Information

Primary practice address
4246 Se Belmont St Portland OR 97215-1676
Phone: (503) 445-8114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X R1909 Oregon

Profile Details

NPI number 1730374646
LBN Legal business name Bagan, Alissa Lynn
Credentials M.S., QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Nov 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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