Individual provider · Type 1 NPI

Angela Fogg

Counselor · Portland, OR

NPI number 1356772446 Active

Practice location

12511 SW 68th Ave, Suite 100
Portland, OR 97223-8510

Call (503) 719-2420 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4 other providers at this address

Other counselor providers in Portland

See all in Portland →

About NPI 1356772446

Angela Fogg's National Provider Identifier is 1356772446, issued on Nov 27, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2015.