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BRANDON JOSEPH FULPS CRM
NPI 1346088986
Peer Specialist in Portland, OR

Active since July 17, 2024
6828 SE HOLGATE BLVD, PORTLAND, OR 97206(971) 803-8290 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Joseph Fulps Crm NPPES

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

BRANDON JOSEPH FULPS CRM (NPI 1346088986) is an individual peer specialist in Portland, Oregon, licensed in Oregon (24CRM3393) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1346088986
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRANDON JOSEPH FULPSCredential: CRM
Location Address6828 SE HOLGATE BLVDPortland, OR 97206-3504
Mailing Address3181 Ne 23rd St Apt F127Gresham, OR 97030-4316 · (971) 381-7561
Phone(971) 803-8290
Sole ProprietorNo
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1346088986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24CRM3393
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6828 SE HOLGATE BLVD, Portland, OR 97206
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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.

ALANA FLYNN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
KATHLEEN MICHELE CHIRGWIN CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
SUMMIT RECOVERY CENTER
Substance Abuse Rehabilitation Facility
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 841-1127
BRIAN WALKER
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (971) 803-8290
GARRETT AUSTIN SMITH CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 805-7268
DANIEL ORTMAN
Counselor (Addiction (Substance Use Disorder))
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 593-8404
TRACY BENJAMIN NELSON CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987
SABRINA MARIE SWANK CRM
Peer Specialist
6828 SE HOLGATE BLVD
PORTLAND, OR 97206
Multnomah County (503) 795-3987

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 Brandon Fulps's NPI number?

The NPI number for Brandon Fulps is 1346088986. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Brandon Fulps located?

Brandon Fulps practices at 6828 SE Holgate Blvd, Portland, OR 97206. The listed phone number is (971) 803-8290.

What is Brandon Fulps's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brandon Fulps was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.