Individual
ASHLEY E. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 MADISON ST STE 1270, SEATTLE, WA 98104-3554
(206) 866-5148
(888) 775-6355
Mailing address
633 YESLER WAY FL 3, SEATTLE, WA 98104-2725
(206) 866-5148
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60141979
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040FU
REGENCE
WA
05
—
1912100116
—
WA
01
—
264816
LNI
WA
01
—
BP1-0026450
INSTITUTIONAL PERMIT
—
Enumeration date
06/06/2007
Last updated
05/06/2024
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