| Fulfillment Family Therapy | |
|
123 E Powell Blvd Ste 303 Gresham OR 97030-7620 | |
| (503) 516-8266 | |
| Not Available |
| Full Name | Fulfillment Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 123 E Powell Blvd Ste 303, Gresham, Oregon |
| Authorized Official Name and Position | Angela M Caiazza (OWNER, LMFT) |
| Authorized Official Contact | 5035168266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulfillment Family Therapy 123 E Powell Blvd Ste 303 Gresham OR 97030-7620 Ph: (503) 516-8266 | Fulfillment Family Therapy 123 E Powell Blvd Ste 303 Gresham OR 97030-7620 Ph: (503) 516-8266 |
| NPI Number | 1457846008 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457846008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0828 (Oregon) | Primary |
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