MS. MALLORIE FULTS
NPI 1417337981
Peer Specialist in Portland, OR

Active since May 31, 2015
805 SE 151ST AVE, PORTLAND, OR 97233(971) 271-7270(971) 302-6046 Get Directions Write a Review

NPPES record last updated: May 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mallorie Fults NPPES

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

MS. MALLORIE FULTS (NPI 1417337981) is an individual peer specialist in Portland, Oregon and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1417337981
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. MALLORIE FULTS
Location Address805 SE 151ST AVEPortland, OR 97233-2916
Mailing Address805 Se 151st AvePortland, OR 97233-2916 · (971) 271-7270 · Fax (971) 302-6046
Fax(971) 302-6046
Sole ProprietorNo
Enumeration DateMay 31, 2015
NPI 1417337981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
805 SE 151ST AVE, Portland, OR 97233

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.

Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Case Manager/Care Coordinator
805 SE 151ST AVE
PORTLAND, OR 97233
Case Manager/Care Coordinator
805 SE 151ST AVE
PORTLAND, OR 97233
Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Counselor (Mental Health)
805 SE 151ST AVE
PORTLAND, OR 97233
Counselor (Mental Health)
805 SE 151ST AVE
PORTLAND, OR 97233
Peer Specialist
805 SE 151ST AVE
PORTLAND, OR 97233
Community Based Residential Treatment Facility, Mental Illness
805 SE 151ST AVE
PORTLAND, OR 97233

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 Mallorie Fults's NPI number?

The NPI number for Mallorie Fults is 1417337981. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Mallorie Fults located?

Mallorie Fults practices at 805 SE 151st Ave, Portland, OR 97233. The listed phone number is (971) 271-7270.

What is Mallorie Fults'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 Mallorie Fults was last updated on May 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.