Kimberly Anne Fuller in Gresham - Specialist
Kimberly Anne Fuller - NPI 1528198306
Kimberly Anne Fuller is a Specialist in Gresham, Oregon. Kimberly Anne Fuller practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kimberly Anne Fuller is 1528198306. The last update date is 2007-07-08.
Kimberly Anne Fuller's current location address is 1217 Ne Burnside Rd Ste 502, Gresham, Oregon. You can contact this provider via phone number 5034929310 and fax number 5034923905. The mailing address for Kimberly Anne Fuller is 1217 Ne Burnside Rd Ste 502, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Anne Fuller |
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Address | 1217 Ne Burnside Rd Ste 502, Gresham, Oregon |
Phone Number | 5034929310 |
Fax Number | 5034923905 |
Sole Proprietor | Y |
Credentials | LMT |
NPI Number Detail
NPI Number | 1528198306 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1217 Ne Burnside Rd Ste 502 |
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City | Gresham |
State | Oregon (OR) |
Post Code | 970305770 |
Phone Number | 5034929310 |
Fax Number | 5034923905 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 7606 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Kimberly Anne Fuller's unique identification number?
The Kimberly Anne Fuller has been assigned the NPI (National Provider Identifier) Number 1528198306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kimberly Anne Fuller located?
The Kimberly Anne Fuller is located at 1217 Ne Burnside Rd Ste 502, Gresham, OR 970305770.
What is Kimberly Anne Fuller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimberly Anne Fuller is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did Kimberly Anne Fuller receive its 1528198306 assignment?
The Kimberly Anne Fuller was assigned its 1528198306 on 2007-03-07, which is the date when this unique identifier was issued to the organization.
When was the information related to Kimberly Anne Fuller most recently updated or refreshed?
The details pertaining to the Kimberly Anne Fuller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.