Rachel Fuller

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2640 NW Alexandra Ave
Portland, OR 97210-1289

Phone

(503) 239-1248

Fax

(503) 239-1252

NPI assigned

Nov 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rachel Falconer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Salvation Army

  • Case Management Agency
  • Happy Valley, OR
  • NPI 1578994646
  NPD (past)
• White Shield Center

  • Counselor
  • Portland, OR
  • NPI 1548652316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1275963472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10027",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960027",
            "telephone_number": "503-239-1248",
            "fax_number": "503-239-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 NW ALEXANDRA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972101289",
            "telephone_number": "503-239-1248",
            "fax_number": "503-239-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FALCONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joleen Fuller, LAC
• Julia M Fuller, M.AC.O.M.
• Kenneth Daniel Fuller, LMT
• Kimberly Kay Fuller
• Lanisha Denise Fuller, MD
• Sara Fuller, LMHCA, LPC INTERN
• Sarah E Fuller, IBCLC
• Shauna Fuller
• Skylar Fuller
• Kathleen Fullerton, MSED

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.