Jeffrey D Fullman, MD

NPI #1932178951 in Tualatin, Oregon

Provider Information

NPI Number: 1932178951
Entity Type: Individual
Name: Jeffrey D Fullman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Mar 14, 2006
Last Updated: Jul 19, 2010

Practice Location

Address: 19250 SW 65TH AVE
Address 2: STE 110
City: Tualatin
State: Oregon
ZIP Code: 97062-7452
Phone: (503) 692-1205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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