NPI 1134111776

Jon Todd Fitzgerald, DPM

Practitioner Podiatrist Lake Oswego, OR

Practice location

Address: 543 3rd St STE C1, Lake Oswego, OR 97034-3067
Phone: (503) 636-9656
Fax: (503) 636-9657

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP00248 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1134111776
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2005
Record last updated: 9 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.