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Individual

JOHN VINCENT FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., OTR, CHT

Contact information

Practice address
2561 CENTER ST NE, SALEM, OR 97301-4600
(503) 561-6972
(503) 561-4690
Mailing address
2561 CENTER ST NE, SALEM, OR 97301-4600
(503) 561-6972
(503) 561-4690

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
916213
OR

Other

Enumeration date
02/27/2008
Last updated
02/27/2008
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