Individual
FLETCHER NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM,THW
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(037) 263-6905
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3718
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/08/2018
Last updated
09/26/2018
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