Individual
DR. LINDA M. FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2153 SW MAIN ST, SUITE 102, PORTLAND, OR 97205-1124
(503) 705-9462
(503) 227-4212
Mailing address
2153 SW MAIN ST, SUITE 102, PORTLAND, OR 97205-1124
(503) 705-9462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1397
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840665000
REGENCE BCBSO
OR
Enumeration date
12/18/2006
Last updated
04/04/2013
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