Individual
JENNIFER LEE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 COUNTRY CLUB RD STE 100, EUGENE, OR 97401-2240
(541) 463-2390
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
363AM0700X
Medical Physician Assistant
PA170065
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500678680
—
OR
Enumeration date
10/02/2014
Last updated
05/07/2026
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