MR. Erik Dee Fullmer, CADC CANIDATE

NPI #1992159644 in Hillsboro, Oregon

Provider Information

NPI Number: 1992159644
Entity Type: Individual
Name: MR. Erik Dee Fullmer, CADC CANIDATE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CADC CANIDATE
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 134 SE 5TH AVE
Address 2: SUITE C
City: Hillsboro
State: Oregon
ZIP Code: 97123-4095
Phone: (503) 648-5269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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