Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTEL AZURE FULLER
Active Sole ProprietorSHANTEL AZURE FULLER is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GRESHAM, Oregon. NPI 1629240288 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GRESHAM, OR
Registration Details
- NPI Number
- 1629240288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2008 (18.367337145928 yrs)
- Last Updated
- Mar 24, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 NE 7TH STGRESHAM, OR, 970305604Browse OR providers · Browse ZIP 97030
- Phone
- 5036615455
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. SHERWIN H. MOSCOW | MA | 1760595441 |
| MARY LOUISE DAVIS | CADCI | 1407906308 |
| EMELIE M THOMPSON | CADC | 1619095338 |
| MIGUEL TELLEZ | — | 1851519128 |
| MS. ANGELA MICHELLE WATSON | CADC APPLICANT | 1316167737 |
| FREDERICK FRANCIS SMITH | CADC II | 1467646307 |
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.