Individual provider Active NPI

Debra Ann Fisher

  • Massage Therapist
  • Woodburn, OR
National Provider Identifier
1689453672
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5969 Issued in OR
Practice address
559 Glatt Cir
Woodburn, OR 97071-9675
Phone
(503) 981-4591
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5969 OR Primary

Addresses

Primary practice location

559 Glatt Cir
Woodburn, OR 97071-9675

Mailing address

559 Glatt Cir
Woodburn, OR 97071-9675
Phone (503) 981-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5969ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Center, LLC CurrentSince Oct 1, 2023 Accepting new patients
Travis Buckmaster L.Ac.,P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

559 Glatt Cir
Woodburn, OR 97071
Phone (503) 981-4591

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689453672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 GLATT CIR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719675",
            "telephone_number": "503-981-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 GLATT CIR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719675",
            "telephone_number": "503-981-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.