Provider Demographics
NPI:1285452409
Name:HEALING HARBOR PSYCHIATRY
Entity type:Organization
Organization Name:HEALING HARBOR PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:503-869-3182
Mailing Address - Street 1:16909 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-9602
Mailing Address - Country:US
Mailing Address - Phone:503-869-3182
Mailing Address - Fax:888-224-4514
Practice Address - Street 1:820 SE HIGHWAY 101 STE E2
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-2773
Practice Address - Country:US
Practice Address - Phone:971-465-9556
Practice Address - Fax:888-224-4514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty