LANISHA DENISE FULLER

PORTLAND, OR
NPI1447747324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OR  MD222959)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  ME159488)
Enumeration Date2018-04-17
Last Update Date2025-11-18
Business Address
LANISHA DENISE FULLER MD
9701 SW BARNES RD STE LL60
PORTLAND, OR 97225-6772
Phone number: 503-297-8081
Mailing Address
LANISHA DENISE FULLER MD
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801