Angela M. Caiazza, PC

Organization Active NPI Marriage & Family Therapist · Gresham, OR

NPI 1457846008 · NPPES record last updated Jun 26, 2018

Key facts

NPI
1457846008
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
License
T0828 (OR)
Legal business name
ANGELA M. CAIAZZA, PC
Practice address
123 E Powell Blvd Ste 303
Gresham, OR 97030-7620
Phone
(503) 516-8266
NPI assigned
Jun 26, 2018
Organization subpart
No

Authorized official

Name
Mrs. Angela M Caiazza, LMFT
Title
Owner, LMFT
Phone
(503) 516-8266

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X T0828 OR Yes

Addresses

Primary practice location

123 E Powell Blvd Ste 303
Gresham, OR 97030-7620

Mailing address

123 E Powell Blvd Ste 303
Gresham, OR 97030-7620
Phone (503) 516-8266

Other names

  • Fulfillment Family Therapy Doing business as

Other providers in Gresham, OR

All providers in Gresham, OR · Marriage & Family Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.