Individual
BRIAN FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703-1947
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD198305
OR
Other
Enumeration date
04/01/2016
Last updated
10/02/2024
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