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1457991879
NIALL J FITZGERALD
PORTLAND, OR
NPI
1457991879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
NIALL J FITZGERALD
2270 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-5916
Phone number: 503-963-8337
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Mailing Address
NIALL J FITZGERALD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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