Individual
MR. WILLIAM R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 GWEE SHUT ROAD, SILETZ, OR 97380-9673
(541) 444-1030
(541) 444-9695
Mailing address
PO BOX 320, SILETZ, OR 97380-9673
(541) 444-1030
(541) 444-9695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00993
OR
Other
Enumeration date
01/11/2007
Last updated
12/08/2016
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