Individual provider · Type 1 NPI

Donna S. Fogg, PSY.D.

Mental Health Counselor · Portland, OR

NPI number 1255560355 Active

Practice location

1500 NE Irving St, Suite 250
Portland, OR 97232-2243

Call (503) 258-4200 Map

Mailing address

9130 NW Mckenna Dr
Portland, OR 97229-8038

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255560355

Donna S. Fogg, PSY.D.'s National Provider Identifier is 1255560355, issued on Jul 9, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 11, 2011.