Individual
JON TODD FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
543 3RD ST, STE C1, LAKE OSWEGO, OR 97034-3067
(503) 636-9656
(503) 636-9657
Mailing address
543 3RD ST, STE C1, LAKE OSWEGO, OR 97034-3067
(503) 636-9656
(503) 636-9657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00248
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054399002
BLUE CROSS
OR
05
—
067533
—
OR
01
—
3008597-02
HMOO
OR
01
—
F627
HEALTHNET
OR
Enumeration date
08/19/2005
Last updated
12/09/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us