Fisher, Peter B

Fisher, Peter B is an individual health care provider with primary practice located at 5314 Ne Irving St , Portland OR 97213-3158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fisher, Peter B can be contacted via phone (503) 284-1937.

Contact Information

Primary practice address
5314 Ne Irving St Portland OR 97213-3158
Fax: (503) 284-3908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD10827 Oregon

Profile Details

NPI number 1376520452
LBN Legal business name Fisher, Peter B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 19th, 2007 - about 19 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 1376520452 NPPES
Oregon MEDICAID 265918
Oregon MEDICAID 1036581

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