Individual
RANDALL L FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2025 SE JEFFERSON ST, MILWAUKIE, OR 97222
(503) 654-5433
(503) 654-5439
Mailing address
2025 SE JEFFERSON ST, MILWAUKIE, OR 97222
(503) 654-5433
(503) 654-5439
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273520
OR
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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