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Contact Information

TRISTAN N FUJITA, ATC-R, OTC
831 NW COUNCIL DR STE 130
GRESHAM, OR97030-3722
 Phone: 503-489-1122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TRISTAN N FUJITA · (Female)

NPI # 1114219466
Status Active
Credentials ATC-R, OTC
Entity Individual
Enumeration date 05/04/2011
Last updated 03/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # AT-AT-10139459
Hospital affiliation(s) Not Available
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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