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MR. DIMITRI FULLER
NPI 1053245589
Counselor - Mental Health in Canby, OR

Active since June 10, 2026
22018 S CENTRAL POINT RD, CANBY, OR 97013(503) 221-4531 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dimitri Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DIMITRI FULLER (NPI 1053245589) is an individual mental health provider in Canby, Oregon and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1053245589
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DIMITRI FULLER
Location Address22018 S CENTRAL POINT RDCanby, OR 97013-8705
Mailing Address1227 Johnson StOregon City, OR 97045-3610 · (503) 597-9082
Phone(503) 221-4531
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1053245589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
22018 S CENTRAL POINT RD, Canby, OR 97013
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY MCKENZIE SPADE
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
MACKENZIE JOY BEKEDAM
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
ANDREA R CHRISTOPHER QMHA
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
TANIA LEE MAT
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
SOPHIA H JONES PSS
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
REBECCA CHEVREL
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
ROBIN S HANSTEEN-IZORA
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531
CHLOE MERRIFIELD
Counselor (Mental Health)
22018 S CENTRAL POINT RD
CANBY, OR 97013
Clackamas County (503) 221-4531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimitri Fuller's NPI number?

The NPI number for Dimitri Fuller is 1053245589. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Dimitri Fuller located?

Dimitri Fuller practices at 22018 S Central Point Rd, Canby, OR 97013. The listed phone number is (503) 221-4531.

What is Dimitri Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dimitri Fuller was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.