Individual
CHRISTA M FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8686
(503) 873-8689
Mailing address
335 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8686
(503) 873-8689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01143
OR
Other
Enumeration date
10/10/2006
Last updated
04/23/2010
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