Individual
ADRIENNE MICHEL FUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD, LMT
Contact information
Practice address
2024 SE CLINTON ST, PORTLAND, OR 97202-2245
(503) 232-2229
Mailing address
2426 SE MAIN ST, PORTLAND, OR 97214-3940
(503) 313-4286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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