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Steven Fuller

NPI 1073813572 · on the registry since 2010 · sole proprietor

Practice

Address
1735 Virginia Ave
North Bend, OR 97459
Phone
(503) 751-7006
Organisation at this address
Safeway Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-30

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