Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285977553 Individual Practitioner Female Practitioner

Eileen Jewell Fagan , MS, NCC

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Eileen Fagan, MS, NCC is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 339 SW CENTURY DR STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

339 Sw Century Dr Ste 201

Bend, OR 97702

Telephone 5415089354
Associated Practice Facility / Clinic
🏢 Healing Roots Medicine Llc Facility NPI 1477051795

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
214 Specialists

Practicing in Bend, OR (2601 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C4069

Definition to come...

Secondary Practice Locations

2275 Ne Doctors Dr, Suite #1

Bend, OR 977016324

Phone: 5413235515

1569 Sw Nancy Way

Bend, OR 977023234

Phone: 5416170377

339 Sw Century Dr Ste 201

Bend, OR 97702

Phone: 5415089354

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jeremy Brodhead , NP

Nurse Practitioner

NPI 1801272513

Nurse Practitioner

Havilah Brodhead , RN, MSN, FNP-BC

Nurse Practitioner - Primary Care

NPI 1841584844

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 15, 2019

Registered at 339 SW CENTURY DR STE 201, BEND, OR 97702 (Tel: 5415089354)

📍
Updated Business Mailing Address August 15, 2019

Registered at 3616 SW REINDEER AVE, REDMOND, OR 977567953 (Tel: 5415089354)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2019

Counselor (License #C4069 in OR)

📍
Updated Practice Location May 27, 2019

Registered at 1569 SW NANCY WAY, BEND, OR 977023234 (Tel: 5416170377)

📍
Updated Business Mailing Address May 27, 2019

Registered at 1569 SW NANCY WAY, BEND, OR 977023234 (Tel: 5416170377)

NPI Profile Active April 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2013

Registered at 2275 NE DOCTORS DR, SUITE #1, BEND, OR 977016324 (Tel: 5413235515)

📍
Updated Business Mailing Address April 04, 2013

Registered at 2169 SW QUARTZ AVE, REDMOND, OR 977568006 (Tel: 5415089354)

👤
Provider Name / Credentials Updated April 04, 2013

Recorded as EILEEN FAGAN, MS, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2013

Counselor

🟢
Initial NPI Registration & Enumeration April 04, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285977553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2013
Last Update: August 15, 2019
Sole Proprietor: No

Mailing Address

3616 Sw Reindeer Ave

Redmond, OR 977567953

Phone: 5415089354

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.