Matthew David Fontaine, AAS
Matthew David Fontaine, AAS is a Psychiatric/Mental Health Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
Practice location Address checks out
13317 SE Powell BlvdPortland, OR 97236-3335
Phone: (503) 760-9606
Fax: (503) 760-9609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 201140738RN (OR) |
|---|
Record details
| NPI number | 1144515289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AAS |
| Sole proprietor | No |
| NPI enumerated | June 16, 2011 |
| Last updated in NPPES | June 16, 2011 |
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