Ronda Fisk

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

25-CRM-4454 Issued in OR

Practice address

18600 SE McLoughlin Blvd
Milwaukie, OR 97267-6723

Phone

(971) 255-0658

NPI assigned

Jun 25, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Teen Challenge International Pacific Northwest Centers

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1245784222
  NPD

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1750279014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 SE MCLOUGHLIN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972676723",
            "telephone_number": "971-255-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676723",
            "telephone_number": "971-255-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "RONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "25-CRM-4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Louise Fine, MS CCC-SLP
• Brandon Finn-Skyles
• Randall L Fish, DC
• Sarah Fishbein, RN, BSN
• Caleb Fisher
• Jonatha G Fitzgerald, PHYSICAL THERAPIST A
• Leslie Karen Fitzgerald, P.A.
• Patricia Fitzpatrick Pierce, PHYSICAL THERAPIST A
• Paul Fitzpatrick
• Mike Harvey Fleming, R.PH.

• All providers in Milwaukie, OR
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.