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Search › Oregon › Licensed Practical Nurse

Jacob Fuller, LPN

NPI 1720423536 · on the registry since 2013 · sole proprietor

Practice

Address
3333 Riverbend Dr
Springfield, OR 97477
Phone
(877) 350-7430
Organisation at this address
Peacehealth
Peacehealth
Peacehealth
Peacehealth
Peace Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
187

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Also registered as
Licensed Practical Nurse
Licence states on file
OR, WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-07

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