person
Matthew David Fontaine, AAS
Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1144515289

Matthew David Fontaine is a Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health. Matthew David Fontaine practices in Portland, OR and has the professional credentials of AAS. The NPI Number for Matthew David Fontaine is 1144515289 and holds a License No. 201140738RN (Oregon).

The current practice location address for Matthew David Fontaine is 13317 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-760-9606 and via fax at 503-760-9609.

Location: 13317 Se Powell Blvd, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1144515289
Provider Name
Matthew David Fontaine
Credential
AAS
Provider Entity Type
Individual
Gender
Male
Address
13317 Se Powell Blvd, Portland, OR, 97207-8459
Phone Number
503-760-9606
Fax Number
503-760-9609
Provider Enumeration Date
06/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9606
Fax Number
503-760-9609
person
Provider Business Mailing Address Details
Address
13317 Se Powell Blvd
City
State
Zip
97236-3335
Phone Number
503-760-9606
Fax Number
503-760-9609
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201140738RN (Oregon)
Definition
Definition to come...
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