NPI 1124418561

Brent D Fisk, PSYD

Practitioner Clinical Psychologist Newberg, OR

Practice location

Address: 1003 Providence Dr STE 110, Newberg, OR 97132-7521
Phone: (503) 537-5900
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 3093 (OR)

Other Psychologist providers in Oregon →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Oregon →

Registry record

NPI: 1124418561
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2015
Record last updated: 6 Oct 2020

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.