Fagan, Mitchell Ernest
Fagan, Mitchell Ernest is an individual health care provider with primary practice located at 1680 Molalla Ave , Oregon City OR 97045-4008. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Fagan, Mitchell Ernest can be contacted via phone (503) 655-2588.Contact Information
Primary practice address
1680 Molalla Ave
Oregon City OR 97045-4008
Phone: (503) 655-2588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 15304 | Oregon |
Profile Details
| NPI number | 1144636234 |
|---|---|
| LBN Legal business name | Fagan, Mitchell Ernest |
| Credentials | M.A. SLP-CFY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2014 |
| Last updated | Jul 9th, 2014 - about 11 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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