Individual
MARY A FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, DEPT. OF VA MEDICAL CENTER, PORTLAND, PORTLAND, OR 97207-1034
(503) 220-8262
(503) 220-8262
Mailing address
PO BOX 1034, P3NEURO, DEPT. OF VA MEDICAL CENTER, PORTLAND, POTLAND, OR 97207-1034
(503) 220-8262
(503) 721-1048
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9642240
—
WA
Enumeration date
08/23/2005
Last updated
07/08/2007
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