HEATHER FOGG
NPI 1255700134
Counselor - Mental Health in Beaverton, OR

Active since September 21, 2015
1500 NW BETHANY BLVD, SUITE 320, BEAVERTON, OR 97006(503) 567-3260 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Fogg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER FOGG (NPI 1255700134) is an individual mental health provider in Beaverton, Oregon and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1255700134
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEATHER FOGG
Location Address1500 NW BETHANY BLVD, SUITE 320Beaverton, OR 97006-5208
Mailing AddressPo Box 82819Portland, OR 97282-0819
Sole ProprietorNo
Enumeration DateSeptember 21, 2015
NPI 1255700134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1500 NW BETHANY BLVD, Beaverton, OR 97006

Other Identifiers 2

Medicaid164936OR
Medicare PIN0000WDBCHOR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1500 NW BETHANY BLVD
BEAVERTON, OR 97006
Counselor (Addiction (Substance Use Disorder))
1500 NW BETHANY BLVD, SUITE 240
BEAVERTON, OR 97006
Naturopath
1500 NW BETHANY BLVD, SUITE 135
BEAVERTON, OR 97006
Behavior Analyst
1500 NW BETHANY BLVD, SUITE 320
BEAVERTON, OR 97006
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD, STE 320
BEAVERTON, OR 97006
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD
BEAVERTON, OR 97006
Counselor (Mental Health)
1500 NW BETHANY BLVD, 320
BEAVERTON, OR 97006
Social Worker (Clinical)
1500 NW BETHANY BLVD, 320
BEAVERTON, OR 97006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Fogg's NPI number?

The NPI number for Heather Fogg is 1255700134. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Heather Fogg located?

Heather Fogg practices at 1500 NW Bethany Blvd Suite 320, Beaverton, OR 97006. The listed phone number is (503) 567-3260.

What is Heather Fogg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Heather Fogg was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.