Jackson Squire Fogarty
Jackson Squire Fogarty is a Counselor in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2025.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
4455 NE Highway 20Corvallis, OR 97330-9695
Phone: (541) 758-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (OR) |
|---|
Record details
| NPI number | 1730050220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 16, 2025 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
| Mailing address | 3415 Se Powell Blvd, Portland, OR 97202-3371 |
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