Active NPIIndividual providerSole proprietor

Marsha S Cristales-Fontaine

Counselor, Mental Health in Portland, Oregon

NPI Number1609291269
Practice location
1235 SE Division St, Portland, OR 97202-1099
Fax
—
Last updated
July 28, 2020

Marsha Sharyn Cristales-Fontaine is a Counselor, Mental Health based in Portland, OR. Marsha Sharyn Cristales-Fontaine practices in Portland, OR. The NPI Number for Marsha Sharyn Cristales-Fontaine is 1609291269 and holds a License No. C5676 (OR). The current practice location address for Marsha Sharyn Cristales-Fontaine is 1235 SE Division St, Portland, OR 97202-1099 and can be reached out via phone at 360-726-4141.

Provider Profile Details

NPI Number
1609291269
Provider Name
Marsha Sharyn Cristales-Fontaine
Provider Entity Type
Individual
Gender
Female
Address
1235 SE Division St, Portland, OR 97202-1099
Phone Number
360-726-4141
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2014
Last Update Date
July 28, 2020
Certification Date
July 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1235 SE Division St
Portland, OR 97202-1099
State
Oregon
Zip
97202-1099
Phone Number
360-726-4141
Portland, OR 97202Get directions →

Provider Business Mailing Address Details

Address
12844 SW 132ND Ave
Tigard, OR 97223-1750
City
Tigard
State
OR
Zip
97223-1750
Phone Number
971-317-9889

License Information

License Number (1)
C5676
License State (1)
OR
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
IMF 75045
License State (2)
CA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marsha S Cristales-Fontaine?

The NPI number of Marsha S Cristales-Fontaine is 1609291269. It was assigned on February 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Marsha S Cristales-Fontaine?

Marsha S Cristales-Fontaine is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number C5676.

Where does Marsha S Cristales-Fontaine practice?

The practice location is 1235 SE Division St, Portland, OR 97202-1099. The office can be reached at 360-726-4141 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609291269 directly on the NPPES registry website.

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