Individual
JOSHUA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
419 SW 5TH ST, PENDLETON, OR 97801-2020
(541) 429-4940
(541) 429-4941
Mailing address
809 SW 6TH ST, PENDLETON, OR 97801-2928
(541) 429-4940
(541) 429-4941
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4390
OR
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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