IndividualActive
Daniel Fisher, CST
NPI 1073059754 · Surgical Technologist · Portland, OR
Provider details
- NPI number
- 1073059754
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Male
- Sole proprietor
- No
- License
- 165205 (OR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
11782 Sw Barnes Rd
Suite 300
Portland, OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Approximate (ZIP-level) locationGet directions
Mailing address
11782 Sw Barnes Rd
Portland, OR 97225-5914
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.