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NPI Code Detail

MEDICARE: MICHAEL JOSEPH FISHER FNP-BC

MEDICARE:   MICHAEL JOSEPH FISHER  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner10041706OR
2363LF0000XFamily Nurse PractitionerAP70007887WA

General Provider Information

NPI Number : 1275277527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOSEPH FISHER FNP-BC
Provider Business Mailing Address
First Line : PO BOX 3068
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3068
Country : US
Telephone Number : 503-229-7976
Fax Number : 503-274-4867
Provider Business Practice Location Address
First Line : 8050 SW WARM SPRINGS ST STE 150
Second Line :
City : TUALATIN
State : OR
Zip : 97062-7422
Country : US
Telephone Number : 503-692-7971
Fax Number : 503-691-6837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2022
Last Update Date : 09/25/2025

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Directions to “ MICHAEL JOSEPH FISHER FNP-BC” Practice Location

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