Individual
MS. MICHELLE ANNE FITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2410 SE 121ST AVE, SUITE 216, PORTLAND, OR 97216-4066
(503) 335-5975
(503) 335-5974
Mailing address
2410 SE 121ST AVE, SUITE 216, PORTLAND, OR 97216-4066
(503) 335-5975
(503) 335-5974
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
02/14/2008
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