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

Mr. Krsna Prema Dasa Fullman

Individual provider Home Health Aide · NPI 1205407459

Mr. Krsna Prema Dasa Fullman is a Home Health Aide in Eagle Point, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1594 E Antelope Rd
Eagle Point, OR 97524-9601
Phone: (541) 778-9223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1205407459
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 7, 2021