Individual
DR. MAKINDRA L. FITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
(503) 452-3208
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004583012
BLUE CROSS
OR
Enumeration date
02/23/2006
Last updated
11/06/2020
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