Fontaine, Matthew David

Fontaine, Matthew David is an individual health care provider with primary practice located at 13317 Se Powell Blvd , Portland OR 97236-3335. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Fontaine, Matthew David can be contacted via phone (503) 760-9606.

Contact Information

Primary practice address
13317 Se Powell Blvd Portland OR 97236-3335
Phone: (503) 760-9606
Fax: (503) 760-9609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201140738RN Oregon

Profile Details

NPI number 1144515289
LBN Legal business name Fontaine, Matthew David
Credentials Associate in Applied Science (AAS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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