Provider Demographics
NPI:1467857847
Name:OGILVIE, ALANA (LMFT)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:OGILVIE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S BANCROFT ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-8523
Mailing Address - Country:US
Mailing Address - Phone:503-850-8310
Mailing Address - Fax:
Practice Address - Street 1:110 S BANCROFT ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-8523
Practice Address - Country:US
Practice Address - Phone:503-850-8310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-28
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60862203106H00000X
ORT1392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist