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Individual

JAMEY L BURRIS-FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-PP PSYCHIATRIC/MH

Contact information

Practice address
2158 EXCHANGE ST STE 304, ASTORIA, OR 97103-3307
(503) 325-8315
(503) 325-8602
Mailing address
2158 EXCHANGE ST STE 304, ASTORIA, OR 97103-3307
(503) 325-8315
(503) 325-8602

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN00159464
WA
363L00000X
Nurse Practitioner
200750042NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750042NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30007010
WA
363LP2300X
Primary Care Nurse Practitioner
200750042NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500699961
OR
01
8906041
CRIME VICTIMS
WA
05
9645276
WA
Enumeration date
09/25/2005
Last updated
09/19/2023
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