Individual
REBECCA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7668 SW MOHAWK ST, TUALATIN, OR 97062-8119
(503) 885-5110
(186) 635-0131
Mailing address
PO BOX 2960, TUALATIN, OR 97062-2960
(503) 885-5110
(186) 635-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
075034831RN
OR
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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