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Individual

PAULA ELAINE FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2926 NE FLANDERS ST STE 1A, PORTLAND, OR 97232-3259
(209) 988-8816
Mailing address
4526 NE 40TH AVE, PORTLAND, OR 97211-8133
(209) 988-8816

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001075-01
NY
106H00000X
Marriage & Family Therapist
39823
CA
106H00000X
Marriage & Family Therapist
MFC39823
CA
106H00000X
Marriage & Family Therapist
Primary
T1674
OR

Other

Enumeration date
03/12/2007
Last updated
05/26/2023
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