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Kimberly Anne Fuller, LMT
Specialist in Gresham, Oregon
NPI 1528198306

Kimberly Anne Fuller is a Specialist based in Gresham, OR. Kimberly Anne Fuller practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Kimberly Anne Fuller is 1528198306 and holds a License No. 7606 (Oregon).

The current practice location address for Kimberly Anne Fuller is 1217 Ne Burnside Rd Ste 502, Gresham, OR and can be reached out via phone at 503-492-3910 and via fax at 503-492-3905.

Location: 1217 Ne Burnside Rd Ste 502, Gresham, OR, 97030-5770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528198306
Provider Name
Kimberly Anne Fuller
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1217 Ne Burnside Rd Ste 502, Gresham, OR, 97030-5770
Phone Number
503-492-3910
Fax Number
503-492-3905
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1217 Ne Burnside Rd Ste 502
City
Gresham
State
Oregon
Zip
97030-5770
Phone Number
503-492-3910
Fax Number
503-492-3905
person
Provider Business Mailing Address Details
Address
1217 Ne Burnside Rd Ste 502
City
Gresham
State
Oregon
Zip
97030-5770
Phone Number
503-492-3910
Fax Number
503-492-3905
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
7606 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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