Ryan Austin Fullmer
Ryan Austin Fullmer is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
12505 SE Raymond StPortland, OR 97236-3931
Phone: (503) 760-8300
Fax: (503) 760-8308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1750954442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
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