Individual
JONAH DANIEL FULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1840 E PORTLAND RD, NEWBERG, OR 97132-1847
(503) 538-9360
Mailing address
1840 E PORTLAND RD, NEWBERG, OR 97132-1847
(503) 538-9360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126844
MN
Other
Enumeration date
04/02/2025
Last updated
09/19/2025
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