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JESSIKA FATU
NPI 1366018343
Clinic/Center - Community Health in Portland, OR

Active since June 01, 2021
6736 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 351-3955 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessika Fatu NPPES

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

JESSIKA FATU (NPI 1366018343) is an individual community health provider in Portland, Oregon and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1366018343
Entity TypeIndividualFemale
Primary Taxonomy261QC1500X
Provider Legal NameJESSIKA FATU
Location Address6736 NE KILLINGSWORTH STPortland, OR 97218-3338
Mailing Address6736 Ne Killingsworth StPortland, OR 97218-3338 · (503) 351-3955
Phone(503) 351-3955
Sole ProprietorYes
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1366018343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
6736 NE KILLINGSWORTH ST, Portland, OR 97218
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADDEN ROWELL M.D.
Internal Medicine
6736 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 988-3991
CARLA CHRISTINE RADCLIFFE MD
Family Medicine
6736 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 988-3601
SUSAN A KASS FNP
Nurse Practitioner (Family)
6736 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (509) 988-3991

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 Jessika Fatu's NPI number?

The NPI number for Jessika Fatu is 1366018343. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Jessika Fatu located?

Jessika Fatu practices at 6736 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 351-3955.

What is Jessika Fatu's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Jessika Fatu was last updated on June 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.