Individual
GUSTAV FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 626, PORTLAND, OR 97213-2991
(503) 231-1426
(503) 234-7015
Mailing address
5050 NE HOYT ST, SUITE 626, PORTLAND, OR 97213-2991
(503) 231-1426
(503) 234-7015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
6981
KS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD167189
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677418
—
OR
Enumeration date
06/06/2008
Last updated
09/23/2024
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