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1932178951
JEFFREY D FULLMAN
TUALATIN, OR
NPI
1932178951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD13393)
Enumeration Date
2006-03-14
Last Update Date
2010-07-19
Business Address
-- JEFFREY D FULLMAN MD
19250 SW 65TH AVE STE 110
TUALATIN, OR 97062-7452
Phone number: 503-692-1205
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Mailing Address
-- JEFFREY D FULLMAN MD
1411 SW MORRISON ST STE 200
PORTLAND, OR 97205-1945
Phone number: 503-242-9850
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