Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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P. Kelly Fitzpatrick, BA, NCACII, QMHA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891008520

P. Kelly Fitzpatrick, BA, NCACII, QMHA is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

10570 SE Washington St Ste 201
Portland, OR 97216-2846
Phone: (503) 933-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 07-09-60 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 15-CRM-167 (OR)

Record details

NPI number1891008520
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , NCACII , QMHA
Sole proprietorNo
NPI enumeratedJuly 22, 2010
Last updated in NPPESDecember 14, 2016

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