KIMBERLY ANNE FULLER LMT
NPI 1528198306
Specialist in Gresham, OR

Active since March 07, 2007
1217 NE BURNSIDE RD STE 502, GRESHAM, OR 97030(503) 492-3910(503) 492-3905 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Anne Fuller Lmt NPPES

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

KIMBERLY ANNE FULLER LMT (NPI 1528198306) is an individual specialist in Gresham, Oregon, licensed in Oregon (7606) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1528198306
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLY ANNE FULLERCredential: LMT
Location Address1217 NE BURNSIDE RD STE 502Gresham, OR 97030-5770
Mailing Address1217 Ne Burnside Rd Ste 502Gresham, OR 97030-5770 · (503) 492-9310 · Fax (503) 492-3905
Fax(503) 492-3905
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1528198306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · 7606
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1217 NE BURNSIDE RD STE 502, Gresham, OR 97030

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Specialist
1217 NE BURNSIDE RD STE 502
GRESHAM, OR 97030
Specialist
1217 NE BURNSIDE RD STE 502
GRESHAM, OR 97030

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 Kimberly Fuller's NPI number?

The NPI number for Kimberly Fuller is 1528198306. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kimberly Fuller located?

Kimberly Fuller practices at 1217 NE Burnside Rd Ste 502, Gresham, OR 97030. The listed phone number is (503) 492-3910.

What is Kimberly Fuller's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Kimberly Fuller accept?

Health plans from Regence BlueCross BlueShield of Oregon list Kimberly Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.