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Individual

MR. ROBERT EDWIN FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
21540 SW AEBISCHER ROAD, SHERWOOD, OR 97140-8604
(503) 330-5049
(503) 610-1042
Mailing address
21540SW AEBISCHER RD, SHERWOOD, OR 97140-8604
(503) 330-5049
(503) 610-1042

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
076036679N3
OR

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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