Individual
TREVOR FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 W 6TH AVENUE, EMERGENCY DEPARTMENT, ALBANY, OR 97321
(503) 926-2244
Mailing address
PO BOX 2065, SEATTLE, WA 98111-2065
(888) 633-0083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00038675
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211929
WASHINGTON L & I
—
05
—
134057
—
OR
05
—
8252892
—
WA
01
—
8941026
WA CRIME VICTIMS
—
Enumeration date
04/04/2006
Last updated
03/05/2008
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