Most Relevant Information
Provider Data
| NPI Number: | 1003319765 |
| Provider Name: | FLETCHER NASH CRM,THW |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2018 |
| Last Updated: | 09/26/2018 |
Provider Practice Location
8915 SW CENTER ST
TIGARD
OR
972236307
Practice Location Phone/Fax
| Phone: | 0372636905 |
| Fax: |
Provider Mailing Location
8915 SW CENTER ST
TIGARD
OR
972236307
Provider Mailing Phone/Fax
| Phone: | 5037263718 |
| Fax: |