Individual
PETER B FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5314 NE IRVING ST, PORTLAND, OR 97213-3158
(503) 284-1937
(503) 284-3908
Mailing address
5314 NE IRVING ST, PORTLAND, OR 97213-3158
(503) 284-1937
(503) 284-3908
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD10827
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036581
—
WA
05
—
265918
—
OR
Enumeration date
12/29/2005
Last updated
10/19/2007
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