Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRISTAN NADIENE FUJITA, ATC-R, OTC
Active Sole ProprietorTRISTAN NADIENE FUJITA, ATC-R, OTC is a Medical Laboratory Technician healthcare provider located in GRESHAM, Oregon. NPI 1114219466 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · GRESHAM, OR
Registration Details
- NPI Number
- 1114219466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2011 (15.235302943264 yrs)
- Last Updated
- Mar 4, 2014
- License
-
AT-AT-10139459 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
831 NW COUNCIL DR STE 130GRESHAM, OR, 970303722Browse OR providers · Browse ZIP 97030
- Phone
- 5034891122
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.