Daniel Lewis Fisher, CST Valid NPI

Individual provider · Surgical Technologist · Portland, OR

NPI

1073059754

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

165205 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2017-01-18

Last updated

2017-01-18