Provider Demographics
NPI:1952738551
Name:FITZ GIBBON, MORGAN ELIZABETH (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:FITZ GIBBON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 E BURNSIDE ST STE 217
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-1231
Mailing Address - Country:US
Mailing Address - Phone:971-350-1122
Mailing Address - Fax:971-350-3401
Practice Address - Street 1:811 E BURNSIDE ST STE 217
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-1231
Practice Address - Country:US
Practice Address - Phone:971-350-1122
Practice Address - Fax:971-350-3401
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist