Individual
KATHERINE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E 33RD ST STE 201A, VANCOUVER, WA 98663-2776
(360) 750-7964
Mailing address
15405 NE 42ND ST, VANCOUVER, WA 98682-7082
(650) 388-0642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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