Individual provider Active NPI

Angella Nicole Fuge, ATC/R

  • Athletic Trainer
  • Hillsboro, OR
National Provider Identifier
1710928445
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-AT-100293 Issued in OR
Practice address
1200 NE 48TH Ave
Suite 700
Hillsboro, OR 97124-4904
Phone
(503) 681-4238
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-AT-100293 OR Primary

Addresses

Primary practice location

1200 NE 48TH Ave
Suite 700
Hillsboro, OR 97124-4904

Mailing address

17994 SW Camas St
Aloha, OR 97006-4696
Phone (503) 888-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT-AT-100293ORMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710928445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17994 SW CAMAS ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970064696",
            "telephone_number": "503-888-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 48TH AVE",
            "address_2": "SUITE 700",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971244904",
            "telephone_number": "503-681-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGE",
        "first_name": "ANGELLA",
        "middle_name": "NICOLE",
        "credential": "ATC/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-AT-100293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.