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Search › Oregon › 363LP2300X

Carmella Fullenwider, AG-PCNP-BC

NPI 1598508640 · on the registry since 2024 · sole proprietor

Practice

Address
645 Nw 4th St
Redmond, OR 97756
Phone
(541) 389-7741
Organisation at this address
Laboratory Corporation Of America
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-28

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