Fitzgerald Family Medicine

NPI #1255820239 in Dallas, Oregon

Provider Information

NPI Number
1255820239
Entity Type
Organization
Organization Name
Fitzgerald Family Medicine
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 6, 2018
Last Updated
May 6, 2018

Practice Location

Address
289 E ELLENDALE AVE STE 602
City
Dallas
State
Oregon
ZIP Code
97338-1570
Phone
(971) 612-1588

Authorized Official

Name
MRS. ERIN SANFORD FITZGERALD, FNP-BC
Title
NURSE PRACTITIONER
Phone
(971) 612-1588

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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