Individual
MRS. SHARLENE FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 RIVER RD N, KEIZER, OR 97303-4568
(503) 393-3624
Mailing address
25117 SW PARKWAY,, SUITE D, WILSONVILLE, OR 97070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
989149
OR
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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