Provider Demographics
NPI:1033278437
Name:FISHER, BILLIE R (MSW, QMHP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:R
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 W 11TH AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3759
Mailing Address - Country:US
Mailing Address - Phone:541-686-1262
Mailing Address - Fax:541-686-0359
Practice Address - Street 1:995 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4611
Practice Address - Country:US
Practice Address - Phone:541-302-9195
Practice Address - Fax:541-302-0889
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health