Steven Fuller

Pharmacist · North Bend, OR

Individual Active NPI

NPI number 1073813572

Practice location

1735 Virginia Ave
North Bend, OR 97459-2346
Phone
(503) 751-7006

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NPI record

NPI
1073813572
Entity type
Individual (Type 1)
Enumeration date
October 30, 2010
Last updated
October 30, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 11739 OR

Mailing address

PO Box 632
North Bend, OR 97459-0051

About Steven Fuller

Steven Fuller is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1735 Virginia Ave, North Bend, OR 97459-2346. The NPI number 1073813572 was assigned on October 30, 2010 and the record was last updated on October 30, 2010.

Steven Fuller lists a license in the registry: #11739 (OR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Steven Fuller?

The NPI number is 1073813572.

What is the phone number of Steven Fuller?

The phone number listed for the practice location is (503) 751-7006.

Where is Steven Fuller located?

1735 Virginia Ave, North Bend, OR 97459-2346.

What is the taxonomy code for Steven Fuller?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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