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

Mino Fuller

Individual provider Mechanotherapist · NPI 1063048890

Mino Fuller is a Mechanotherapist in Corvallis, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1760 SW 3rd St
Corvallis, OR 97333-1725
Phone: (720) 323-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X

Record details

NPI number1063048890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing address1760 Sw 3rd St, Corvallis, OR 97333-1725

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