Individual
DR. MICHAEL J FULOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Mailing address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1049
OR
Other
Enumeration date
01/17/2007
Last updated
09/06/2022
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