Individual
CHERYL MARIE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13455 SE 97TH AVE, CLACKAMAS, OR 97015-8662
(503) 737-5786
(503) 652-4452
Mailing address
13455 SE 97TH AVE, CLACKAMAS, OR 97015-8662
(503) 737-5786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
093003455RN
OR
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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