Individual
PATRICK LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 140, PORTLAND, OR 97210-5311
(503) 499-5442
(503) 499-5455
Mailing address
PO BOX 3433, PORTLAND, OR 97208-3433
(503) 499-5442
(503) 499-5455
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
12768
OR
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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