MATTHEW DAVID FONTAINE AAS NPI 1144515289

NPI Information

NPI: 1144515289
Provider Name: MATTHEW DAVID FONTAINE, AAS
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
13317 SE POWELL BLVD
PORTLAND, OR
ZIP 97236
Phone: (503) 760-9606
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Matthew David Fontaine, AAS is a psychiatric/mental health registered nurse in Portland, OR. Matthew David Fontaine, AAS NPI is 1144515289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13317 SE POWELL BLVD
PORTLAND, OR
ZIP 97236-335
Phone: (503) 760-9606
Fax: (503) 760-9609

The enumeration date for this NPI number is 6/16/2011 and was last updated on 6/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	201140738RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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