Individual
NAOMI BICKFORD FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 445-0781
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 803-7407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
171117
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2011
Last updated
05/09/2017
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