Individual
CASSEOPIA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 515-1738
Mailing address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 515-1738
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
200242230RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
10016096
OR
363LG0600X
Gerontology Nurse Practitioner
10016096
OR
Other
Enumeration date
09/18/2023
Last updated
02/02/2024
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