IndividualActive
Roger Fagan, AUD
NPI 1720189012 · Audiologist-Hearing Aid Fitter · Portland, ME
Provider details
- NPI number
- 1720189012
- Entity type
- Individual
- Primary specialty
- Audiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Male
- Sole proprietor
- No
- License
- DL95 (ME)
Practice location
985 Forest Avenue
Portland, ME 04103
Phone: (207) 797-8738
Fax: (207) 797-8650
Mailing address
985 Forest Avenue
Portland, ME 04103
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.