Individual provider · Type 1 NPI

Isaac Shawn Fuller

Mental Health Counselor · Beaverton, OR

NPI number 1922784875 Active

Practice location

10700 SW Beaverton Hillsdale Hwy Building 1 Suite 011
Beaverton, OR 97005

Call (503) 641-1475 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922784875

Isaac Shawn Fuller's National Provider Identifier is 1922784875, issued on Jun 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Jun 26, 2023.