MICHELLE FONG
Individual Provider (NPI-1)
Active
Psychologist
Provider Information
- NPI Number
1821477514- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 534 PLEASANT VIEW WAY NW STE 200, ALBANY, OR, 973211789
- Phone
- (541) 812-5760
Specialties & Taxonomies
Psychologist
Primary License: OR #3282
All Addresses
MAILING
PO BOX 1188
CORVALLIS, OR, 973391188