SearchWashington175T00000X

Nicholas Fish, CPSS

NPI 1407619158 · on the registry since 2024

Practice

Address
910 16th Ave Ste 120
Longview, WA 98632
Phone
(360) 200-5419
Fax
(844) 612-6673
Organisation at this address
Evergreen At Park Royal Ii, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 1131 Broadway St, Longview, WA

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
175T00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington