Individual
RACHEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210-1289
(503) 239-1248
(503) 239-1252
Mailing address
PO BOX 10027, PORTLAND, OR 97296-0027
(503) 239-1248
(503) 239-1252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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