Provider Demographics
NPI:1265886485
Name:FISCHER, NATALIE (FNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18380 WILLAMETTE DR
Mailing Address - Street 2:#202
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-1200
Mailing Address - Country:US
Mailing Address - Phone:503-635-8384
Mailing Address - Fax:503-636-6475
Practice Address - Street 1:18380 WILLAMETTE DR
Practice Address - Street 2:#202
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-1200
Practice Address - Country:US
Practice Address - Phone:503-635-8384
Practice Address - Fax:503-636-6475
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201601939NP-PP363LF0000X
WAN361101565363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily