Jessika Fatu
Jessika Fatu is a Community Health Clinic/Center in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6736 NE Killingsworth StPortland, OR 97218-3338
Phone: (503) 351-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X |
|---|
Record details
| NPI number | 1366018343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 1, 2021 |
| Last updated in NPPES | June 1, 2021 |
| Certification date | June 1, 2021 |
| Mailing address | 6736 Ne Killingsworth St, Portland, OR 97218-3338 |
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