Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIKA FATU
Active Sole ProprietorCommunity Health Center · PORTLAND, OR
Registration Details
- NPI Number
- 1366018343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2021 (4.9168857524264 yrs)
- Last Updated
- Jun 1, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
6736 NE KILLINGSWORTH STPORTLAND, OR, 972183338Browse OR providers · Browse ZIP 97218
- Phone
- 5033513955
- Primary Specialty
-
Community Health Center
261QC1500X
Other Community Health Center Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SARA STANCZAK | — | 1972271427 |
| ARETHA DEANN STONE | — | 1639806292 |
| MITCHELL S BRANCH | CRM | 1063128916 |
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.