IndividualActive
Jessika Fatu
NPI 1366018343 · Community Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1366018343
- Entity type
- Individual
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6736 Ne Killingsworth St
Portland, OR 97218-3338
Phone: (503) 351-3955
Approximate (ZIP-level) locationGet directions
Mailing address
6736 Ne Killingsworth St
Portland, OR 97218-3338
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.