Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY ANNE FULLER, LMT
Active Sole ProprietorSpecialist · GRESHAM, OR
Registration Details
- NPI Number
- 1528198306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2007 (19.146870983078 yrs)
- Last Updated
- Jul 8, 2007
- License
-
7606 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1217 NE BURNSIDE RD STE 502GRESHAM, OR, 970305770Browse OR providers · Browse ZIP 97030
- Phone
- 5034923910
- Fax
- 5034923905
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JON ALLAN SCHNEPEL | P.T. | 1619950797 |
| JAMI LEE BAILLIE | DPT | 1952387599 |
| GARY J DELORIT | M.D. | 1467520130 |
| GLEN A MILLIGAN | M.D. | 1144398801 |
| MRS. GEORGIANNA WADE | LMT | 1558400713 |
| WENDY SUSANNE HUSTAD | LMT | 1891823977 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.