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MATTHEW DAVID FONTAINE AAS
NPI 1144515289
Registered Nurse - Psychiatric/Mental Health in Portland, OR

Active since June 16, 2011
13317 SE POWELL BLVD, PORTLAND, OR 97236(503) 760-9606(503) 760-9609 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew David Fontaine Aas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW DAVID FONTAINE AAS (NPI 1144515289) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201140738RN) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1144515289
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameMATTHEW DAVID FONTAINECredential: AAS
Location Address13317 SE POWELL BLVDPortland, OR 97236-3335
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 963-7711
Phone(503) 760-9606
Fax(503) 760-9609
Sole ProprietorNo
Enumeration DateJune 16, 2011
✔ NPI 1144515289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 201140738RN
13317 SE POWELL BLVD, Portland, OR 97236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON FRANKLIN CAIN
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 763-9606
MR. SEAN ROBERT BENVENUTI QMHA
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
JACK L GAGNON
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
RYAN EDWARD KRAUS
Technician (Personal Care Attendant)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (500) 760-9606
TANYA TRAHAN MSW
Counselor (Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
APRIL MICHELLE LEONARD QMHA
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
TOBY JI KEAGY
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 763-9606
DIANA HOLM
Adult Companion
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Fontaine's NPI number?

The NPI number for Matthew Fontaine is 1144515289. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Matthew Fontaine located?

Matthew Fontaine practices at 13317 SE Powell Blvd, Portland, OR 97236. The listed phone number is (503) 760-9606.

What is Matthew Fontaine's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Matthew Fontaine was last updated on June 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.