IndividualActive
Tristan Fujita, ATC-R, OTC
NPI 1114219466 · Surgical Technologist · Gresham, OR
Provider details
- NPI number
- 1114219466
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- ATC-R, OTC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
831 Nw Council Dr Ste 130
Gresham, OR 97030-3722
Phone: (503) 489-1122
Approximate (ZIP-level) locationGet directions
Mailing address
16790 Se Davidoff Way
Damascus, OR 97089-5807
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2014-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.