Individual
FRED FISCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8375 SW WARM SPRINGS ST, TUALATIN, OR 97062-9003
(503) 885-8899
Mailing address
8375 SW WARM SPRINGS ST, TUALATIN, OR 97062-9003
(503) 869-4110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5169
OR
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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