Robert Edwin Fisher, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

076036679N3 Issued in OR

Practice address

21540 SW Aebischer Road
Sherwood, OR 97140-8604

Phone

(503) 330-5049

Fax

(503) 610-1042

NPI assigned

Apr 9, 2009

Sex

Male

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1982847729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21540SW AEBISCHER RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408604",
            "telephone_number": "503-330-5049",
            "fax_number": "503-610-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 SW AEBISCHER ROAD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408604",
            "telephone_number": "503-330-5049",
            "fax_number": "503-610-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "076036679N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery J Esau, DMD
• Eye Impressions, LLC
• Christina Farias, PHARMD
• Joel N Fast, DMD
• Elisabetta Paderi Fernandez
• Kendra Flann, D.M.D
• Adam Francois, DMD
• Marissa Jennie Funk, RN
• Holly Galis, DPT
• Ashley Garcia, MA, LMFT

• Adult Health Nurse Practitioner in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.