Individual
KRISTEN MICHELLE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 SW 209TH CT, ALOHA, OR 97006-1892
(503) 866-9504
Mailing address
2005 SW 209TH CT, ALOHA, OR 97006-1892
(503) 866-9504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11181
OR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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