OrganizationActive
Fitzgerald Family Medicine
NPI 1255820239 · Primary Care Clinic/Center · Dallas, OR
Provider details
- NPI number
- 1255820239
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Erin Fitzgerald, Nurse Practitioner
- License
- 2015011081 (OR)
Practice location
289 E Ellendale Ave Ste 602
Dallas, OR 97338-1570
Phone: (971) 612-1588
Fax: (503) 831-3215
Mailing address
170 W Ellendale Ave Ste 103
Dallas, OR 97338-1456
Registry dates
- Enumerated
- 2018-05-06
- Last updated
- 2018-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.