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General NPI Number Information
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NPI Number | 1497073738
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Entity Type | Individual
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Provider Name | JOANNA CHRISTINE FISHER ND
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Gender | Female
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 2628 SE 81ST AVE
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City | PORTLAND
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State | OR
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Zip | 97206-1042
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Country | US
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Telephone | 503-328-8080
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Fax | 844-602-4580
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Provider Business Mailing Address
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Address Line | 25318 NE 227TH ST
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City | BATTLE GROUND
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State | WA
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Zip | 98604-5143
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Country | US
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Telephone | 503-328-8080
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Fax | 844-602-4580
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 2067
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License Number State | OR
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