Individual
MARSHA JEAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
(503) 331-3095
Mailing address
1638 NE GLISAN ST, PORTLAND, OR 97232-2841
(503) 331-3095
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH434
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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