Fisher, Alan M

Fisher, Alan M is an individual health care provider with primary practice located at 10000 Se Main St Suite 309, Portland OR 97216-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fisher, Alan M can be contacted via phone (503) 257-7757.

Contact Information

Primary practice address
10000 Se Main St Suite 309 Portland OR 97216-2448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD16970 Oregon

Profile Details

NPI number 1114988128
LBN Legal business name Fisher, Alan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114988128 NPPES
Oregon MEDICAID 013446

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