FITZGERALD FAMILY MEDICINE
NPI 1255820239
Clinic/Center - Primary Care in Dallas, OR

Q: What is Fitzgerald Family Medicine's NPI number?

The NPI number for Fitzgerald Family Medicine is 1255820239. It was assigned to this organization in the NPPES registry on May 6, 2018.

Q: What is Fitzgerald Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 06, 2018

289 E ELLENDALE AVE STE 602, DALLAS, OR 97338(971) 612-1588(503) 831-3215 Get Directions Write a Review

NPPES record last updated: May 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fitzgerald Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FITZGERALD FAMILY MEDICINE (NPI 1255820239) is a healthcare organization registered as a primary care in Dallas, Oregon and active in the NPI registry since May 2018. The organization lists Erin Sanford Fitzgerald, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1255820239

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameFITZGERALD FAMILY MEDICINE

Location Address289 E ELLENDALE AVE STE 602Dallas, OR 97338-1570

Mailing Address170 W Ellendale Ave Ste 103Dallas, OR 97338-1456 · (971) 612-1588 · Fax (503) 831-3215

Phone(971) 612-1588

Fax(503) 831-3215

Organization SubpartNo

Authorized OfficialErin Sanford FitzgeraldNurse Practitioner · (971) 612-1588

Enumeration DateMay 6, 2018

✔ NPI 1255820239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in OR · 2015011081

289 E ELLENDALE AVE STE 602, Dallas, OR 97338

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fitzgerald Family Medicine's NPI number?

The NPI number for Fitzgerald Family Medicine is 1255820239. It was assigned to this organization in the NPPES registry on May 6, 2018.

Where is Fitzgerald Family Medicine located?

Fitzgerald Family Medicine is located at 289 E Ellendale Ave Ste 602, Dallas, OR 97338. The listed phone number is (971) 612-1588.

What is Fitzgerald Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fitzgerald Family Medicine was last updated on May 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.