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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW DAVID FONTAINE, AAS

Active

MATTHEW DAVID FONTAINE, AAS is a Child & Adolescent Psychiatric Nurse healthcare provider located in PORTLAND, Oregon. NPI 1144515289 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · PORTLAND, OR

Registration Details

NPI Number
1144515289
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2011 (15.204324123311 yrs)
Last Updated
Jun 16, 2011
License
201140738RN (OR)

Practice Information

Address
13317 SE POWELL BLVD
PORTLAND, OR, 972363335
Browse OR providers · Browse ZIP 97236
Phone
5037609606
Fax
5037609609
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in PORTLAND, OR

Name Credential NPI
SONJA LEA EATON R.N. 1518991660
ROBIN SHUMAN RN 1386660058
MS. CAROL UTTERBERG PMHNP 1386759769
MS. ROBIN L PAISLEY RN 1912008954
MRS. PATRICIA J. OSBORNE PMHNP 1467533778
ALEIA LAVONNE COWAN RN 1013066141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.