# ANGELA M. CAIAZZA, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fulfillment Family Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457846008
- **Authorized official:** MRS. ANGELA M CAIAZZA LMFT (OWNER, LMFT)
- **Authorized official phone:** (503) 516-8266

## Contact information

- **Practice address:** 123 E POWELL BLVD STE 303, GRESHAM, OR 97030-7620
- **Practice address phone:** (503) 516-8266
- **Mailing address:** 123 E POWELL BLVD STE 303, GRESHAM, OR 97030-7620
- **Mailing address phone:** (503) 516-8266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T0828 | OR | Yes |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 06/26/2018