Organization · Type 2 NPI
Fitzgerald Family Medicine
Primary Care Clinic/Center · Dallas, OR
NPI number
1255820239
Active
Practice location
289 E Ellendale Ave Ste 602
Dallas, OR 97338-1570
Fax (503) 831-3215
Mailing address
170 W Ellendale Ave Ste 103
Dallas, OR 97338-1456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 2015011081 (OR) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Dallas
About NPI 1255820239
Fitzgerald Family Medicine's National Provider Identifier is 1255820239, issued on May 6, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Dallas, OR. The record was last updated on May 6, 2018.