Most Relevant Information
Provider Data
| NPI Number: | 1003217910 |
| Provider Name: | CINDY M FULTON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA170038 |
Most Important Dates
| Enumeration Date: | 09/10/2014 |
| Last Updated: | 06/20/2023 |
Provider Practice Location
4400 NE HALSEY ST STE 102
PORTLAND
OR
972131545
Practice Location Phone/Fax
| Phone: | 5039621000 |
| Fax: |
Provider Mailing Location
PO BOX 3158
PORTLAND
OR
972083158
Provider Mailing Phone/Fax
| Phone: | 5032156494 |
| Fax: |