IndividualActive
Perry Fiscus, DMD
NPI 1023215381 · Dentist · Rainier, OR
Provider details
- NPI number
- 1023215381
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D5518 (OR)
Specialties & taxonomies
Dental Providers
Practice location
101 W 5th St
Rainier, OR 97048-2634
Phone: (503) 556-3744
Fax: (503) 556-3134
Approximate (ZIP-level) locationGet directions
Mailing address
101 W 5th St
Rainier, OR 97048-2634
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.