Individual
SAMUEL JOHN FESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 SW MORRISON ST, PORTLAND, OR 97225-6829
(503) 964-2186
Mailing address
9200 SW MORRISON ST, PORTLAND, OR 97225-6829
(503) 964-2186
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
10028085
OR
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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