Provider Demographics
NPI:1801290879
Name:BARRAGER, BAILEE RAE
Entity type:Individual
Prefix:
First Name:BAILEE
Middle Name:RAE
Last Name:BARRAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51360
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0906
Mailing Address - Country:US
Mailing Address - Phone:541-686-5060
Mailing Address - Fax:541-686-5063
Practice Address - Street 1:3411 WILLAMETTE ST STE A
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-5109
Practice Address - Country:US
Practice Address - Phone:541-686-5060
Practice Address - Fax:541-686-5063
Is Sole Proprietor?:No
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor