Healthcare Provider Details

I. General information

NPI: 1962889089
Provider Name (Legal Business Name): ROBERT ANTHONY FUCHS DNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ANTHONY FUCHS

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12180 SW SCHOLLS FERRY RD
TIGARD OR
97223-3334
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax:
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201710157NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: