IndividualActive
Lanisha Fuller, MD
NPI 1447747324 · Anatomic Pathology & Clinical Pathology Physician · Portland, OR
Provider details
- NPI number
- 1447747324
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD222959 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9701 Sw Barnes Rd Ste Ll60
Portland, OR 97225-6772
Phone: (503) 297-8081
Fax: (503) 292-6601
Approximate (ZIP-level) locationGet directions
Mailing address
541 Ne 20th Ave Ste 225
Portland, OR 97232-2895
Registry dates
- Enumerated
- 2018-04-17
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.