Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristan Nadiene Fujita, ATC-R, OTC

Individual provider Surgical Technologist · NPI 1114219466

Tristan Nadiene Fujita, ATC-R, OTC is a Surgical Technologist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
Specialties on file
2

Practice location Address checks out

831 NW Council Dr Ste 130
Gresham, OR 97030-3722
Phone: (503) 489-1122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X (OR)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-AT-10139459 (OR)

Record details

NPI number1114219466
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC-R , OTC
Sole proprietorYes
NPI enumeratedMay 4, 2011
Last updated in NPPESMarch 4, 2014

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