Individual provider · Type 1 NPI
Jessika Fatu
Community Health Clinic/Center · Portland, OR
NPI number
1366018343
Active
Practice location
6736 NE Killingsworth St
Portland, OR 97218-3338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
3 other providers at this address
Other community health clinic/center providers in Portland
About NPI 1366018343
Jessika Fatu's National Provider Identifier is 1366018343, issued on Jun 1, 2021. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2021.