Provider Demographics
NPI:1497073738
Name:FISHER, JOANNA CHRISTINE (ND)
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:CHRISTINE
Last Name:FISHER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25318 NE 227TH ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-5143
Mailing Address - Country:US
Mailing Address - Phone:503-328-8080
Mailing Address - Fax:844-602-4580
Practice Address - Street 1:2628 SE 81ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-1042
Practice Address - Country:US
Practice Address - Phone:503-328-8080
Practice Address - Fax:844-602-4580
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2067175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath