IndividualActive
John Fitzgerald, PHD, LPC, CAS
NPI 1447784285 · Counselor · Lake Oswego, OR
Provider details
- NPI number
- 1447784285
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LPC, CAS
- Sex
- Male
- Sole proprietor
- Yes
- License
- C-1322 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
450 5th St
Suite E
Lake Oswego, OR 97034-3059
Phone: (503) 343-5666
Approximate (ZIP-level) locationGet directions
Mailing address
450 5th St
Lake Oswego, OR 97034-3059
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2017-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.