P. KELLY FITZPATRICK BA NCAC II QMHA NPI 1891008520

NPI Information

NPI: 1891008520
Provider Name: P. KELLY FITZPATRICK, BA, NCAC II, QMHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10570 SE WASHINGTON ST
SUITE 201
PORTLAND, OR
ZIP 97216
Phone: (503) 933-2440
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P. Kelly Fitzpatrick, BA, NCAC II, QMHA is an addiction (substance use disorder) counselor in Portland, OR. P. Kelly Fitzpatrick, BA, NCAC II, QMHA NPI is 1891008520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10570 SE WASHINGTON ST
SUITE 201
PORTLAND, OR
ZIP 97216-846
Phone: (503) 933-2440

The enumeration date for this NPI number is 7/22/2010 and was last updated on 12/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	07-09-60	OREGON	Yes
2	175T00000X	Peer Specialist		15-CRM-167	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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