Fullmer, Erik Dee
Fullmer, Erik Dee is an sole proprietor health care provider with primary practice located at 134 Se 5Th Ave Suite C, Hillsboro OR 97123-4095. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Fullmer, Erik Dee can be contacted via phone (503) 648-5269.Contact Information
Primary practice address
134 Se 5Th Ave Suite C
Hillsboro OR 97123-4095
Phone: (503) 648-5269
Fax: (503) 648-5269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1992159644 |
|---|---|
| LBN Legal business name | Fullmer, Erik Dee |
| Credentials | CADC CANIDATE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2016 |
| Last updated | Apr 19th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992159644 | NPPES |
| Oregon | MEDICAID | 278095 |
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