Individual
ADRIENNE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3100 MARTIN LUTHER KING JR PKWY, SPRINGFIELD, OR 97477-7514
(541) 342-8550
Mailing address
PO BOX 70368, SPRINGFIELD, OR 97475-0120
(541) 484-2777
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201391870NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500666893
—
OR
Enumeration date
09/19/2013
Last updated
01/09/2017
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