JESSIKA FATU

Clinic/Center - Community Health

Active Individual
NPI: 1366018343

Practice Address

6736 NE KILLINGSWORTH ST
Portland, OR 97218

Phone: (503) 351-3955

Specialties

Specialty Code Primary License
Clinic/Center - Community Health 261QC1500X Yes -

Frequently Asked Questions

NPI 1366018343 is the National Provider Identifier for JESSIKA FATU, a Clinic/Center - Community Health provider located in Portland, OR. This NPI was enumerated on June 1, 2021.
JESSIKA FATU practices at 6736 NE KILLINGSWORTH ST, Portland, OR 97218.

Quick Facts

NPI
1366018343
Type
Individual
Enumerated
Jun 1, 2021
Last Updated
Jun 1, 2021

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