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

Kimberly Anne Fuller, LMT

Individual provider Specialist · NPI 1528198306

Kimberly Anne Fuller, LMT is a Specialist in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1217 NE Burnside Rd Ste 502
Gresham, OR 97030-5770
Phone: (503) 492-3910
Fax: (503) 492-3905
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 7606 (OR)

Record details

NPI number1528198306
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007

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