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1922784875
ISAAC SHAWN FULLER
BEAVERTON, OR
NPI
1922784875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
ISAAC SHAWN FULLER
10700 SW BEAVERTON HILLSDALE HWY BUILDING 1 SUITE 011
BEAVERTON, OR 97005
Phone number: 503-641-1475
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Mailing Address
ISAAC SHAWN FULLER
10700 SW BEAVERTON HILLSDALE HWY BUILDING 1 SUITE 011
BEAVERTON, OR 97005
Phone number:
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