TRISTAN NADIENE FUJITA ATC-R, OTC
NPI 1114219466
in Gresham, OR

Active since May 04, 2011
831 NW COUNCIL DR STE 130, GRESHAM, OR 97030(503) 489-1122 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tristan Nadiene Fujita Atc-r, Otc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTAN NADIENE FUJITA ATC-R, OTC (NPI 1114219466) is an individual healthcare provider in Gresham, Oregon and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1114219466
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameTRISTAN NADIENE FUJITACredential: ATC-R, OTC
Location Address831 NW COUNCIL DR STE 130Gresham, OR 97030-3722
Mailing Address16790 Se Davidoff WayDamascus, OR 97089-5807 · (360) 204-1035
Sole ProprietorYes
Enumeration DateMay 4, 2011
Last NPPES UpdateMarch 4, 2014
NPI 1114219466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary Specialty
Taxonomy Code246ZS0400X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT-AT-10139459 (OR)
831 NW COUNCIL DR STE 130, Gresham, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristan Fujita's NPI number?

The NPI number for Tristan Fujita is 1114219466. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Tristan Fujita located?

Tristan Fujita practices at 831 NW Council Dr Ste 130, Gresham, OR 97030. The listed phone number is (503) 489-1122.

When was this NPI record last updated?

The NPPES record for Tristan Fujita was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.