SARA FULLER

Address: 3016 Ne 70th Ave, Portland, OR 97213-5802
Phone: 5039128939

SARA FULLER (NPI# 1750996104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750996104
Entity Type Individual
Full Name SARA FULLER
Credential MS, LPC INTERN
Practice Address 3016 Ne 70th Ave
Portland
OR 97213-5802
Mailing Address 2425 Ne 50th Ave
# 13656
Portland
OR 97213-0030
Practice Telephone 5039128939
Mailing Telephone 5039128939
Enumeration Date 2020-09-12
Last Update Date 2020-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
R5544 OR Behavioral Health & Social Service Providers

Other Providers SARA FULLER

NPI Name Taxonomy Address Enumeration
1871546226 Sara G Fuller Nurse Practitioner 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 2006-05-18
1467925321 Sara Fuller Counselor 18646 Oxnard St, Tarzana, CA 91356-1411 2019-01-03
1720483647 Sara Fuller Speech-Language Pathologist 270 Richland Dr, Pulaski, TN 38478-2616 2014-11-04

Office Location

Street Address 3016 NE 70TH AVE
City PORTLAND
State OR
Zip Code 97213-5802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'Strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-Miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
Find all providers in zip 97213

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
1881206977 Victor Okonkwo Counselor 2230 Nw Glisan St, Portland, OR 97210-3419 2020-08-19
1699386540 Liam G Keith Counselor 4315 N Gantenbein Ave, Portland, OR 97217-2905 2020-08-13
1467063370 Kevin Richard Jones Counselor 2225 Ne Martin Luther King Jr Blvd Ste 207, Portland, OR 97212-3727 2020-08-13
1295345700 Christine Stevens Counselor 22 Howard St, Portland, ME 04101-5323 2020-08-10
1336759687 Katharine Frothingham Counselor 975 Se Sandy Blvd Ste 100, Portland, OR 97214-1399 2020-08-03
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.