Individual
KELSEY ALICE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSM, LDM, CPM
Contact information
Practice address
5557 NE GOING ST, PORTLAND, OR 97218-2630
(971) 808-2864
(971) 999-7000
Mailing address
5557 NE GOING ST, PORTLAND, OR 97218-2630
(971) 808-2864
(971) 999-7000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEM-LD-10165673
OR
Other
Enumeration date
06/05/2012
Last updated
12/21/2022
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