Individual
LEANDRE E FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 SE RHINE ST, PORTLAND, OR 97202-2752
(774) 295-0243
Mailing address
9520 NE DANIEL CT, BAINBRIDGE ISLAND, WA 98110-1319
(774) 295-0243
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60976799
WA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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