Jeanette Marie Fanning, QMHA
Jeanette Marie Fanning, QMHA is a Mental Illness Community Based Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2375 NW Glisan StPortland, OR 97210-3420
Phone: (503) 243-2236
Fax: (503) 243-2429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
Record details
| NPI number | 1912045139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | QMHA |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | September 11, 2025 |
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