LILLA BLANCHE SOPHIA FULMER
NPI 1700764578
Counselor - School in Portland, OR
Active since August 21, 2025
About Lilla Blanche Sophia Fulmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILLA BLANCHE SOPHIA FULMER (NPI 1700764578) is an individual school provider in Portland, Oregon, licensed in Oregon (560632) and active in the NPI registry since August 2025.
NPPES Registry Identity
NPI1700764578
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameLILLA BLANCHE SOPHIA FULMER
Location Address501 N DIXON STPortland, OR 97227-1804
Mailing Address501 N Dixon StPortland, OR 97227-1804
Phone(503) 906-2000
Sole ProprietorNo
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1700764578 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in OR · 560632
501 N DIXON ST, Portland, OR 97227
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700764578, enumerated as an "individual" on August 21, 2025.
The provider is located at 501 N DIXON ST PORTLAND, OR 97227 and the phone number is (503) 906-2000.
Counselor with taxonomy code 101YS0200X and a focus in School.