DR. JERRY FISHER


Address: 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573
Phone: 3606959922

DR. JERRY FISHER (NPI# 1568467223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568467223
Entity Type Individual
Full Name DR. JERRY FISHER
Credential MD
Practice Address 4421 Ne St Johns Rd
Suite F
Vancouver
WA 98661-2573
Practice Telephone 3606959922
Practice Fax Number 3606951310
Mailing Telephone 3606959922
Mailing Fax Number 3606951310
Enumeration Date 2005-06-17
Last Update Date 2009-12-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 10276 WA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 10276 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA WA STATE CRIME VICTIMS MD10276 01
WA 8303000 05
WA DEPT OF LABOR & INDUSTRIE 0185791 01

Office Location

Street Address 4421 NE ST JOHNS RD
SUITE F
City VANCOUVER
State WA
Zip Code 98661-2573

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942751052 Katharine Anne Havard Physician Assistant 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 2016-10-24
1134678030 Kenshin Scoggin Physical Therapist 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 2016-10-03
1841411949 Howard Bruce Goodwin Physician Assistant 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 2007-05-02
1316161029 Northwest Rehabilitation Institute Clinic/Center 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 2007-04-12
1013040500 Emergency Rooms, Ps Emergency Medicine 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 2007-03-13
1467544320 Katie Ellen Winans Physician Assistant 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 2006-09-29
1689668246 Robert D Thornton General Practice 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 2005-09-09
1063405983 Terrald S. Kadrmas Physical Therapist 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 2005-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982228417 Cynthia Ann Holt Social Worker 4608 Ne 47 Street, Vancouver, WA 98661 2020-06-01
1235793027 James Dostert Counselor 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 2019-04-26
1306305289 Kathryn Susanne Scott Social Worker Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 2019-03-19
1952860637 Alice Rogers Occupational Therapist Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 2019-03-13
1053878538 Paula Moore Counselor 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 2019-02-21
1558825729 Cassandra Marie Nichols Counselor 1601 E 4th Blvd, Vancouver, WA 98661 2019-01-22
1548734148 Lisa Kelly Counselor 1601 E 4th Blvd., Vancouver, WA 98661 2019-01-16
1518444025 Columbia Pharmacy Pharmacy 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 2018-07-26
1023505229 Ellen Barbour Counselor 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 2018-04-13
1679096325 Brian Scott Coleman Counselor 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 2017-07-24
Find all providers in zip 98661

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306321237 Rainier Springs Physician Group, LLC General Practice 2805 Ne 129th Street, Vancouver, WA 98686 2018-09-26
1851512644 Points of Origin, Pllc General Practice 18810 Ne 18th St, Vancouver, WA 98684-0969 2007-05-01
1174516082 Stephen E. Pliska General Practice 7701 Ne Highway 99, Vancouver, WA 98665-8834 2005-08-25
1265984249 Kaiser Foundation Health Plan of The Northwest General Practice 14406 Ne 20th Ave, Vancouver, WA 98686-1448 2016-10-26
1053863902 Kaiser Foundation Health Plan of The Northwest General Practice 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2016-10-26
1770035610 Kaiser Foundation Health Plan of The Northwest General Practice 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2016-10-26
1588116438 Kaiser Foundation Health Plan of The Northwest General Practice 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 2016-10-26
1871898254 Lynda Tang General Practice 700 Ne 87th Ave, Suite 220, Vancouver, WA 98664-1913 2011-01-17
1871818070 Urgent Oregon Care Inc General Practice 5305 E 18th St, Suite 224, Vancouver, WA 98661-6583 2010-03-30
1972725612 Peter Hanfileti General Practice 18810 Ne 18th St, Vancouver, WA 98684-0969 2007-05-03
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98661

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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