NPI 1003217910

Cindy M Fulton, PAC

Practitioner Physician Assistant Portland, OR

Practice location

Address: 4400 NE Halsey St STE 102, Portland, OR 97213-1545
Phone: (503) 962-1000
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA170038 (OR)

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Registry record

NPI: 1003217910
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2014
Record last updated: 20 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.