TIMOTHY FISH

Peer Specialist

Active Individual
NPI: 1073462511

Practice Address

1904 SE DIVISION ST
Portland, OR 97202

Phone: (503) 517-8663

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1073462511 is the National Provider Identifier for TIMOTHY FISH, a Peer Specialist provider located in Portland, OR. This NPI was enumerated on January 27, 2026.
TIMOTHY FISH practices at 1904 SE DIVISION ST, Portland, OR 97202.

Quick Facts

NPI
1073462511
Type
Individual
Enumerated
Jan 27, 2026
Last Updated
Jan 27, 2026

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