Individual provider · Type 1 NPI

Donald Fultz

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1760891238 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1188 Map

Mailing address

1312 SW Washington St., P.o. Box 3007
Portland, OR 97205

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760891238

Donald Fultz's National Provider Identifier is 1760891238, issued on Aug 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 8, 2014.