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1710225743
SCOTT W FULLER
BEAVERTON, OR
NPI
1710225743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 5117)
Enumeration Date
2013-01-25
Last Update Date
2013-05-13
Business Address
Dr. SCOTT W FULLER D.C.
9923 SW ARCTIC DR
BEAVERTON, OR 97005-4194
Phone number: 503-646-8482
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Mailing Address
Dr. SCOTT W FULLER D.C.
2550 GREENTREE RD
LAKE OSWEGO, OR 97034-5739
Phone number: 503-805-2600
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