Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Joseph Fulps, CRM

Individual provider Peer Specialist · NPI 1346088986

Brandon Joseph Fulps, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

6828 SE Holgate Blvd
Portland, OR 97206-3504
Phone: (971) 803-8290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24CRM3393 (OR)

Record details

NPI number1346088986
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 16, 2024

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