Fitzpatrick, Mary A

Fitzpatrick, Mary A is an individual health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd Dept. Of Va Medical Center, Portland, Portland OR 97207-1034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fitzpatrick, Mary A can be contacted via phone (503) 220-8262.

Contact Information

Primary practice address
3710 Sw Us Veterans Hospital Rd Dept. Of Va Medical Center, Portland Portland OR 97207-1034
Phone: (503) 220-8262
Fax: (503) 220-8262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Oregon

Profile Details

NPI number 1821081092
LBN Legal business name Fitzpatrick, Mary A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081092 NPPES
Washington MEDICAID 9642240

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