Individual
MARGO FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
(503) 257-1732
Mailing address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
200941198RN
OR
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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