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Individual

MARGARET ANN FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1308 E 1ST ST, NEWBERG, OR 97132-2927
(971) 832-9229
(971) 999-7009
Mailing address
3300 MORRIS ST, NEWBERG, OR 97132-9008
(971) 832-0464

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4179
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500712808
OR
Enumeration date
04/24/2013
Last updated
03/04/2025
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