Individual
VICTOR M FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054
Mailing address
6451 N FEDERAL HWY STE 800, FORT LAUDERDALE, FL 33308-1409
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD060269L
PA
207RG0100X
Gastroenterology Physician
Primary
MD210180
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016923960006
—
PA
01
—
110228089
RAILROAD MEDICARE
PA
Enumeration date
06/05/2006
Last updated
09/11/2025
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