Jeanette Marie Fanning

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NPI Number Detailed Information

Provider Information:

Name:	Jeanette Marie Fanning
Gender:	F
Provider License Number If Given:

NPI Information:

NPI:	1912045139
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	2/1/2007
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	9515 SE 74TH AVE Portland, OR 97222
Phone Number:	5037089256
Fax Number:	5032432429

Provider Business Practice Location Address:

Address:	2375 NW GLISAN ST Portland, OR 97210
Phone Number:	5032432236
Fax Number:	5032432429

Provider Taxonomy:

Primary:	320800000X
Secondary (if any):	171M00000X
State:	OR

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About Jeanette Marie Fanning

Jeanette Marie Fanning ( JEANETTE MARIE FANNING ) is A Community Based Residential Treatment Facility, Mental Illness Physician in Portland, OR. The NPI Number for Jeanette Marie Fanning is 1912045139.

The current location address for Jeanette Marie Fanning is 2375 NW GLISAN ST Portland, OR 97210 and the contact number is 5037089256 and fax number is 5032432429. The mailing address for Jeanette Marie Fanning is 9515 SE 74TH AVE Portland, OR 97222- 5032432236 (mailing address contact number - 5037089256).

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs:

What is the NPI Number for Jeanette Marie Fanning ?

Answer: The NPI Number for Jeanette Marie Fanning is 1912045139

Where is Jeanette Marie Fanning located?

Answer: Jeanette Marie Fanning is located at 2375 NW GLISAN ST Portland, OR 97210.

What is the specialty for Jeanette Marie Fanning ?

Answer: The Specialty of Jeanette Marie Fanning is A Community Based Residential Treatment Facility, Mental Illness Physician.

Are there any online reviews for Jeanette Marie Fanning ?

Answer: Not yet!

Are there any other health care providers in Portland, OR?

Answer: Yes, there are given below...

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