Fitzpatrick, P. Kelly

Fitzpatrick, P. Kelly is an individual health care provider with primary practice located at 10570 Se Washington St Suite 201, Portland OR 97216-2846. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fitzpatrick, P. Kelly can be contacted via phone (503) 933-2440.

Contact Information

Primary practice address
10570 Se Washington St Suite 201 Portland OR 97216-2846
Phone: (503) 933-2440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07-09-60 Oregon
Other Service Providers / Peer Specialist 175T00000X 15-CRM-167 Oregon

Profile Details

NPI number 1891008520
LBN Legal business name Fitzpatrick, P. Kelly
Credentials BA, NCAC II, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Dec 14th, 2016 - about 10 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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