MS. Stacie Marie Fulcher, PA-C

NPI #1013193556 in Corvallis, Oregon

Provider Information

NPI Number
1013193556
Entity Type
Individual
Name
MS. Stacie Marie Fulcher, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 15, 2008
Last Updated
Jun 20, 2024

Practice Location

Address
444 NW ELKS DRIVE
State
Oregon
ZIP Code
97330
Phone
(541) 754-1256

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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