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JEFFREY D FULLMAN MD
NPI 1932178951
Internal Medicine in Tualatin, OR

Active since March 14, 2006PECOS Enrolled
19250 SW 65TH AVE, STE 110, TUALATIN, OR 97062(503) 692-1205(503) 692-1207 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey D Fullman Md NPPES

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

JEFFREY D FULLMAN MD (NPI 1932178951) is an individual internal medicine provider in Tualatin, Oregon, licensed in Oregon (MD13393) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932178951
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEFFREY D FULLMANCredential: MD
Location Address19250 SW 65TH AVE, STE 110Tualatin, OR 97062-7452
Mailing Address1411 Sw Morrison St, Ste 200Portland, OR 97205-1945 · (503) 242-9850 · Fax (503) 279-8157
Phone(503) 692-1205
Fax(503) 692-1207
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1932178951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD13393
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19250 SW 65TH AVE, Tualatin, OR 97062
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Other Identifiers 3

Medicare UPINC94324
Medicaid282301OR
Medicare ID-Type UnspecifiedOOWCZBLBOR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey D Fullman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PRABHJOT SINGH MD
Internal Medicine (Interventional Cardiology)
19250 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-7162
WILLIAM DAVID LARSON MD
Ophthalmology
19250 SW 65TH AVE, STE 215
TUALATIN, OR 97062
Washington County (503) 692-3630
BONNIE OLDHAM CARLSON OTR/L
Occupational Therapist (Pediatrics)
19250 SW 65TH AVE, SUITE 125
TUALATIN, OR 97062
Washington County (503) 692-1670
DR. GREGORY A COST MD
Urology
19250 SW 65TH AVE, SUITE 235
TUALATIN, OR 97062
Washington County (503) 692-4820
NICHOLAS JAMES ABBOTT M.D.
Internal Medicine (Cardiovascular Disease)
19250 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-7162
JOHN THOMAS FORSYTHE MD
Internal Medicine
19250 SW 65TH AVE, #110
TUALATIN, OR 97062
Washington County (503) 692-1205
MS. NICOLE GAY INGRAM FNP
Nurse Practitioner (Family)
19250 SW 65TH AVE, SUITE 300
TUALATIN, OR 97062
Washington County (503) 855-1205
SUZANNE L MIGCHELBRINK MD
Internal Medicine
19250 SW 65TH AVE, STE 110
TUALATIN, OR 97062
Washington County (503) 692-1205

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 Jeffrey Fullman's NPI number?

The NPI number for Jeffrey Fullman is 1932178951. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jeffrey Fullman located?

Jeffrey Fullman practices at 19250 SW 65th Ave Ste 110, Tualatin, OR 97062. The listed phone number is (503) 692-1205.

What is Jeffrey Fullman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeffrey Fullman enrolled in Medicare?

Yes. Jeffrey Fullman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Fullman was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.