| Mr Dimitri Fuller, | |
|
22018 S Central Point Rd, Canby, OR 97013-8705 | |
| (503) 221-4531 | |
| Not Available |
| Full Name | Mr Dimitri Fuller |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 22018 S Central Point Rd, Canby, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053245589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dimitri Fuller, 1227 Johnson St, Oregon City, OR 97045-3610 Ph: (503) 597-9082 | Mr Dimitri Fuller, 22018 S Central Point Rd, Canby, OR 97013-8705 Ph: (503) 221-4531 |
Shelby Mckenzie Spade, Counselor Medicare: Accepting Medicare Assignments Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Mackenzie Joy Bekedam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Shannon Rants, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Ne 16th Ave, Canby, OR 97013 Phone: 303-552-7554 | |
Andrea R Christopher, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Tania Lee, MAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Dr. Unique Layshaun Page, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N Elm St, Canby, OR 97013 Phone: 503-372-5147 Fax: 503-650-4302 |