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

Lanisha Denise Fuller, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1447747324

Lanisha Denise Fuller, MD is a Pathology in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
10
Licensed in
FL, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9701 SW Barnes Rd Ste LL60
Portland, OR 97225-6772
Phone: (503) 297-8081
Fax: (503) 292-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD222959 (OR)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME159488 (FL)

Record details

NPI number1447747324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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