NPI 1114219466

Tristan Nadiene Fujita, ATCROTC

Practitioner Surgical Technologist Gresham, OR

Practice location

Address: 831 NW Council Dr STE 130, Gresham, OR 97030-3722
Phone: (503) 489-1122
Mailing address: 16790 SE Davidoff Way, Damascus, OR 97089-5807

Registered specialties (2)

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Oregon →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-10139459 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1114219466
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2011
Record last updated: 4 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.