Individual
CYNTHIA KAY FULTON-TINAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2457 17TH ST, SPRINGFIELD, OR 97477-1668
(503) 588-5330
Mailing address
2457 17TH ST, SPRINGFIELD, OR 97477-1668
(503) 588-5330
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201808041RN
OR
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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