Lubov Maria Fultz
Dental Hygienist in Hillsboro, OR. Individual provider (NPI-1).
NPI number1154579092
StatusActive
Last updated in NPPESSep 4, 2008
Details
- NPI
- 1154579092
- Entity type
- Individual (NPI-1)
- Name
- Lubov Maria Fultz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2008
- Last updated
- Sep 4, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H5472 | OR | Yes |
Practice location
19075 Nw Tanasbourne Dr Ste 300Hillsboro, OR 97124-5802
Phone 503-531-1700 · Fax 503-531-1704
Mailing address
13470 Sw Tulip CtBeaverton, OR 97008-5017
Phone 503-621-2806
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 85 Dental Hygienist providers in Hillsboro · All 3,897 providers in Hillsboro
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