Individual
AMANDA K FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5545
Mailing address
PO BOX 31001-4180, PASADENA, CA 91110-4180
(541) 732-5545
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10003863
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500818277
—
OR
Enumeration date
09/02/2020
Last updated
06/23/2025
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