Individual provider · Type 1 NPI

Lanisha Denise Fuller, MD

Anatomic Pathology & Clinical Pathology Physician · Portland, OR

NPI number 1447747324 Active

Practice location

9701 SW Barnes Rd Ste LL60
Portland, OR 97225-6772

Fax (503) 292-6601

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102XMD222959 (OR)
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XME159488 (FL)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1447747324

Lanisha Denise Fuller, MD's National Provider Identifier is 1447747324, issued on Apr 17, 2018. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Portland, OR. The record was last updated on Nov 18, 2025.