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Contact Information

GUSTAV FISCHER, MD
5050 NE HOYT ST
SUITE 626
PORTLAND, OR97213-2991
 Phone: 503-231-1426
 Fax: 503-234-7015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GUSTAV FISCHER · (Male)

NPI Number 1255590964
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2008
Last updated 09/23/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 6981
  • OR License # MD167189
  • OR Medicaid 500677418
Hospital affiliation(s)
  • PROVIDENCE MILWAUKIE HOSPITAL - (Acute Care)
    10150 SE 32ND AVENUE
    MILWAUKIE, OR 97222
  • PROVIDENCE NEWBERG MEDICAL CENTER - (Acute Care)
    1001 PROVIDENCE DRIVE
    NEWBERG, OR 97132
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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