Fisk, Jonathan D

Fisk, Jonathan D is an individual health care provider with primary practice located at 1000 N Providence Dr Ste 120 , Newberg OR 97132-7582. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fisk, Jonathan D can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1000 N Providence Dr Ste 120 Newberg OR 97132-7582
Phone: (503) 537-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0006675 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA210939 Oregon

Profile Details

NPI number 1154839785
LBN Legal business name Fisk, Jonathan D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Feb 9th, 2023 - about 2 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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