Individual
KATHERINE L FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9200 SE 91ST AVE, STE 300, HAPPY VALLEY, OR 97086-3756
(503) 236-3443
(503) 236-3501
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO14035
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018783
—
OR
Enumeration date
08/19/2006
Last updated
01/25/2013
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