Natalie Bagley, LPC

Individual provider Active NPI Professional Counselor · Portland, OR

NPI 1992986319 · NPPES record last updated Apr 11, 2025

Key facts

NPI
1992986319
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C2381 (OR)
Practice address
712 SE Hawthorne Blvd Ste 100
Portland, OR 97214-3538
Phone
(503) 545-5329
Fax
(503) 327-8005
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C2381ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge City Counseling LLC Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2381 OR Yes

Addresses

Primary practice location

712 SE Hawthorne Blvd Ste 100
Portland, OR 97214-3538

Mailing address

712 SE Hawthorne Blvd Ste 100
Portland, OR 97214-3538
Phone (503) 545-5329

Other identifiers

IdentifierTypeStateIssuer
C2381OtherOROREGON PROFFESSIONAL COUNSELOR LISCENSE

Other providers in Portland, OR

All providers in Portland, OR · Professional Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.