Jerry J Fisher (NPI# 1568467223, PAC ID# 7810975026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1568467223 |
| PAC ID by PECOS | 7810975026 |
| Professional Enrollment ID | I20040713000479 |
| Full Name | Jerry J Fisher |
| Organization Legal Name | HAZEL DELL SPORTS MEDICINE AND REHAB CLINIC PLLC |
| Address |
300 Grand Blvd Suite B200 Vancouver WA 98661-4937 |
| Phone Number | 3605735500 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 9032009311 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Grand Blvd, Suite B200, Vancouver, WA 98661-4937 | 3605735500 | HAZEL DELL SPORTS MEDICINE AND REHAB CLINIC PLLC |
| 300 Grand Blvd, Vancouver, WA 98661-4937 | 3605735500 | HAZEL DELL SPORTS MEDICINE AND REHAB CLINIC PLLC |
| 4421 Ne St Johns F, Vancouver, WA 98661-2573 | 3606959922 | EMERGENCY ROOMS, PS |
| Organization Legal Name | HAZEL DELL SPORTS MEDICINE AND REHAB CLINIC PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Neil | Chiropractic | Hazel Dell Sports Medicine and Rehab Clinic Pllc | 300 Grand Blvd, Suite B200, Vancouver, WA 98661-4937 |
| Douglas L Forgey | Chiropractic | Hazel Dell Sports Medicine and Rehab Clinic Pllc | 300 Grand Blvd, Suite B200, Vancouver, WA 98661-4937 |
| Street Address |
300 GRAND BLVD SUITE B200 |
| City | VANCOUVER |
| State | WA |
| Zip | 98661-4937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Neil | Chiropractic | Hazel Dell Sports Medicine and Rehab Clinic Pllc | 300 Grand Blvd, Suite B200, Vancouver, WA 98661-4937 |
| Douglas L Forgey | Chiropractic | Hazel Dell Sports Medicine and Rehab Clinic Pllc | 300 Grand Blvd, Suite B200, Vancouver, WA 98661-4937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Mayer | Chiropractic | 5907 Ne St Johns Rd, Mayer Chiropractic Clinic, Vancouver, WA 98661-1799 | |
| Susan K Shultz | Chiropractic | Cascadia Health Care, P.C. | 4916 Ne St Johns Rd, Vancouver, WA 98661-2547 |
| Michael D Craig | Chiropractic | Cascadia Health Care, P.C. | 4916 Ne St Johns Rd, Vancouver, WA 98661-2547 |
| Greggory Mortensen | Physical Therapy | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 | |
| Stephen E Pliska | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Cheryl E Einerson | Nurse Practitioner | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Stephanie J Richards | Family Medicine | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Loyal Douglas Marsh | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Robert D Thornton | General Practice | Emergency Rooms, Ps | 4421 Ne St Johns F, Vancouver, WA 98661-2573 |
| Terrald S Kadrmas | Physical Therapy | Northwest Rehabilitation Institute | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 |
| Find all physicians in zip 98661 | |||
| City | VANCOUVER |
| Zip Code | 98661 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | VANCOUVER + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.