SARAH E FULLER (NPI# 1124593454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124593454 |
| Entity Type | Individual |
| Full Name | SARAH E FULLER |
| Credential | IBCLC |
| Practice Address |
8910 Se Harrison St Portland OR 97216-1939 |
| Practice Telephone | 9712358905 |
| Mailing Telephone | 9712358905 |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2018-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | LC-LC-10190129 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230199 | Sarah Marie Fuller | Registered Nurse | 2000 Rockford Rd, Charles City, IA 50616-9101 | 2020-03-19 |
| 1679970545 | Sarah Fuller | Specialist/Technologist | 231 West Hancock Street, Campus Box 65, Milledgeville, GA 31061 | 2014-11-20 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1013354265 | Sarah Elizabeth Fuller | Acupuncturist | 93 Manet Rd, Chestnut Hill, MA 02467-1167 | 2013-05-29 |
| 1346894110 | Sarah Elizabeth Fuller | Speech-Language Pathologist | 33 Wheeler Ave, Cortland, NY 13045-1122 | 2019-07-30 |
| 1174999718 | Sarah Fuller | Nurse Practitioner | 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 | 2015-08-18 |
| 1164857785 | Sarah Fuller | Physical Therapist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-09-13 |
| 1952586422 | Sarah Fuller | Developmental Therapist | 216 N King St, Northampton, MA 01060-1120 | 2008-01-03 |
| Street Address |
8910 SE HARRISON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609406057 | Ashley Treadwell | Lactation Consultant, Non-RN | 4529 Se 52nd Ave, Portland, OR 97206-4920 | 2020-01-23 |
| 1518424563 | Ulrikke Frances Haveron | Lactation Consultant, Non-RN | 7043 N Campbell Ave, Portland, OR 97217-5611 | 2019-02-26 |
| 1336606862 | Jessica Gaskill | Lactation Consultant, Non-RN | 6406 Ne 36th Ave, Portland, OR 97211-7234 | 2019-02-20 |
| 1053886226 | Rosemary K Ragusa | Lactation Consultant, Non-RN | 6221 Se 49th Ave, Portland, OR 97206-6910 | 2018-10-03 |
| 1659866796 | Alimah Hall | Lactation Consultant, Non-RN | 6393 Se Yamhill St, Portland, OR 97215-2832 | 2018-06-29 |
| 1801336821 | Kaitlin Schofield | Lactation Consultant, Non-RN | 8000 Sw Brentwood St, #33, Portland, OR 97225-2351 | 2017-02-24 |
| 1275072563 | Sonya M Horowitz | Lactation Consultant, Non-RN | 3822 Sw Alice St, Portland, OR 97219-5343 | 2017-02-20 |
| 1760838890 | Lindsey Malatesta Goodman | Lactation Consultant, Non-RN | 1226 Se 86th Ave, Portland, OR 97216-1332 | 2016-05-07 |
| 1194185108 | Michelle Devlin | Lactation Consultant, Non-RN | 1012 Cameron Way, Portland, TN 37148-5180 | 2016-03-03 |
| 1083089106 | Ara Greenfield | Lactation Consultant, Non-RN | 5954 Ne 37th Ave, Portland, OR 97211-7910 | 2015-12-01 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on SARAH E FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.