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Individual

LINDSAY HAUT FULMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1018 SW EMKAY DR, BEND, OR 97702-1010
(541) 716-0113
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(203) 770-7486

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201702878RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10047818
OR

Other

Enumeration date
05/31/2024
Last updated
07/23/2025
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