| Mr Jacob Dean Fuller, LPN | |
|
3333 Riverbend Dr, Springfield, OR 97477-8800 | |
| (877) 350-7430 | |
| Not Available |
| Full Name | Mr Jacob Dean Fuller |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 3333 Riverbend Dr, Springfield, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720423536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201230678LPN (Oregon) | Primary |
| 164W00000X | Licensed Practical Nurse | 28704 (West Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Dean Fuller, LPN 585 36th St, Springfield, OR 97478-5789 Ph: (541) 513-5518 | Mr Jacob Dean Fuller, LPN 3333 Riverbend Dr, Springfield, OR 97477-8800 Ph: (877) 350-7430 |
Frances K Moore, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 | |
Mrs. Cindy Louise Donner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-344-2300 | |
Toni Ann Santos, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 37041 Goats Rd, Springfield, OR 97478 Phone: 541-810-3398 | |
Christopher Brady Hallford, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2727 Gateway St, #35, Springfield, OR 97477 Phone: 541-606-9044 | |
Shannon L Lawley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551 | |
Hollie Joy Imler, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5819 Aster St, 4, Springfield, OR 97478 Phone: 541-726-4129 | |
Kristi Lynn Mattes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 506 35th St, Springfield, OR 97478 Phone: 541-221-8615 |