Jerry Fisher is a General Practice in Vancouver, Washington. Jerry Fisher practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Fisher is 1568467223. The last update date is 2009-12-21.
Jerry Fisher's current location address is 4421 Ne St Johns Rd, Vancouver, Washington. You can contact this provider via phone number 3606959922 and fax number 3606951310. The mailing address for Jerry Fisher is 4421 Ne St Johns Rd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Fisher |
|---|---|
| Address | 4421 Ne St Johns Rd, Vancouver, Washington |
| Phone Number | 3606959922 |
| Fax Number | 3606951310 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568467223 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2009-12-21 |
Provider Mailing Address Detail
| Address | 4421 Ne St Johns Rd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 9866125730 |
| Phone Number | 3606959922 |
| Fax Number | 3606951310 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 10276 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185791 | WA | DEPT OF LABOR & INDUSTRIE | |
| 8303000 | WA | -- | |
| MD10276 | WA | WA STATE CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Fisher by the Centers for Medicare & Medicaid Services?
The Jerry Fisher has been issued the NPI (National Provider Identifier) 1568467223, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry Fisher?
The Jerry Fisher is physically situated at 4421 Ne St Johns Rd, in the city of Vancouver, state of WA, with the postal code 9866125730.
What is Jerry Fisher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Fisher is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568467223 to Jerry Fisher?
The Centers for Medicare & Medicaid Services originally issued the 1568467223 to Jerry Fisher on 2005-06-17.
As of what date were the details pertaining to Jerry Fisher last refreshed?
The information related to the Jerry Fisher, including its address, specialty, and other relevant details, was last updated on 2009-12-21.