Individual
COLLEEN MARIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
6200 SE KING RD, MILWAUKIE, OR 97222-2891
(503) 546-6377
(503) 546-9397
Mailing address
6200 SE KING RD, MILWAUKIE, OR 97222-2891
(503) 546-6377
(503) 546-9397
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1761
OR
Other
Enumeration date
10/01/2010
Last updated
11/15/2023
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