DUSTIN ALEXANDER FANNING-PAINTER QMHA
NPI 1679011274
Case Manager/Care Coordinator in Bend, OR

Q: What is Dustin Fanning-painter's NPI number?

The NPI number for Dustin Fanning-painter is 1679011274. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Q: What is Dustin Fanning-painter's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since February 03, 2017

1340 NW WALL ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2017, Feb 3, 2017 (2 updates tracked since 2017).

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About Dustin Alexander Fanning-painter Qmha NPPES

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

DUSTIN ALEXANDER FANNING-PAINTER QMHA (NPI 1679011274) is an individual case manager/care coordinator provider in Bend, Oregon and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1679011274

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameDUSTIN ALEXANDER FANNING-PAINTERCredential: QMHA

Location Address1340 NW WALL STBend, OR 97703-1985

Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateFebruary 3, 2017

Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration

✔ NPI 1679011274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1340 NW WALL ST, Bend, OR 97703

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Other Identifiers 1

Medicaid171M00000XOR

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.

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