1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile

SUE FAGAN FNP
NPI 1891848081
Nurse Practitioner - Family in Portland, OR

Active since January 19, 2007
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204(503) 988-3674(503) 988-5484 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sue Fagan Fnp NPPES

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

SUE FAGAN FNP (NPI 1891848081) is an individual family provider in Portland, Oregon, licensed in Oregon (000032127N1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1891848081
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE FAGANCredential: FNP
Location Address426 SW STARK ST, 8TH FLOORPortland, OR 97204-2347
Mailing Address619 Nw 6th Ave, Fl 5Portland, OR 97209-3964 · (503) 988-7468 · Fax (503) 988-3015
Phone(503) 988-3674
Fax(503) 988-5484
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1891848081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 000032127N1
426 SW STARK ST, Portland, OR 97204
Open in Google Maps ↗

Other Identifiers 1

Medicaid22959OR

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.

JULIE LIDDICOAT CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417
DR. STEVEN COLIN JACKSON MD
Family Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
KATHLEEN MARY GLOVER PNP
Nurse Practitioner (Pediatrics)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
ANNE T DALY FNP
Nurse Practitioner (Family)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
MARILYN P SMITH
Counselor (Professional)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
DR. RICHARD PAUL HOULE MD
Internal Medicine
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
CEARA MEGAN CARDER MSW
Social Worker (Clinical)
426 SW STARK ST, 8TH FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3674
TERESA BLANSHINE CHN
Registered Nurse (Community Health)
426 SW STARK ST, 3RD FLOOR
PORTLAND, OR 97204
Multnomah County (503) 988-3417

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 Sue Fagan's NPI number?

The NPI number for Sue Fagan is 1891848081. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Sue Fagan located?

Sue Fagan practices at 426 SW Stark St 8th Floor, Portland, OR 97204. The listed phone number is (503) 988-3674.

What is Sue Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sue Fagan was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.