MEDICARE: DR. STEPHANIE LENAY FITZPATRICK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	2774	OR

General Provider Information

NPI Number	:	1033406319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE LENAY FITZPATRICK PH.D.

Provider Business Mailing Address
First Line	:	6228 NE GRAND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-3049
Country	:	US
Telephone Number	:	502-345-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	6228 NE GRAND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-3049
Country	:	US
Telephone Number	:	502-345-1476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	11/19/2025

Similar Medicare Providers

1699882902 — EMILY PATTERSON JONES M.D.
Practice Location Address:

1040 NW 22ND AVENUE
PORTLAND, OR
97210-3049

Practice Phone: 503-413-8202
Practice Fax: 503-413-6937

1013127075 — DR. MICHAEL DAVID STRAIKO M.D.
Practice Location Address:

1040 NW 22ND AVE STE 200
PORTLAND, OR
97210-3049

Practice Phone: 503-413-8202
Practice Fax: 503-413-6937

1952260572 — HARBORSTONE BEHAVIORAL RESIDENCE LLC
Practice Location Address:

1426 NE HIGHLAND ST
PORTLAND, OR
97211-4134

Practice Phone: 720-587-5665
Practice Fax:

1316571599 — STEPHANIE AGUILAR
Practice Location Address:

5408 NE 29TH AVE
PORTLAND, OR
97211-6244

Practice Phone: 503-853-5745
Practice Fax:

1225997612 — PAYTON ELIZABETH PETRY
Practice Location Address:

1626 NE ALBERTA ST
PORTLAND, OR
97211-5048

Practice Phone: 503-287-1444
Practice Fax:

1801745906 — LYLE ROSE
Practice Location Address:

2003 NE HOLMAN ST
PORTLAND, OR
97211-5478

Practice Phone: 504-503-2975
Practice Fax:

Directions to “ DR. STEPHANIE LENAY FITZPATRICK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.