Individual
AMANDA FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT INTERN
Contact information
Practice address
5410 SW MACADAM AVE STE 250, PORTLAND, OR 97239-3807
(503) 544-6659
Mailing address
7101 SE 28TH AVE, PORTLAND, OR 97202-8710
(503) 544-6659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R5458
OR
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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