Provider Demographics
NPI:1902150162
Name:FISHER, SAHAJI RABLIN (LAC, RN)
Entity Type:Individual
Prefix:
First Name:SAHAJI
Middle Name:RABLIN
Last Name:FISHER
Suffix:
Gender:F
Credentials:LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1404
Mailing Address - Country:US
Mailing Address - Phone:503-873-6705
Mailing Address - Fax:503-873-6705
Practice Address - Street 1:306 OAK ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1719
Practice Address - Country:US
Practice Address - Phone:503-874-4067
Practice Address - Fax:503-874-4068
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC160276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist