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Search › Oregon › 172M00000X

Mino Fuller

NPI 1063048890 · on the registry since 2020 · sole proprietor

Practice

Address
1760 Sw 3rd St
Corvallis, OR 97333
Phone
(720) 323-8971
Organisation at this address
Level 11 Nutrition Llc
Corvallis Acupuncture And Functional Medicine, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
172M00000X
172M00000X
Sex
Female
Record last updated
2020-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon