Individual
DR. SCOTT W FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 646-8482
Mailing address
2550 GREENTREE RD, LAKE OSWEGO, OR 97034-5739
(503) 805-2600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5117
OR
Other
Enumeration date
01/25/2013
Last updated
05/13/2013
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