LAURIE FORTIN


Address: 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082
Phone: 8552379882

LAURIE FORTIN (NPI# 1124668447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124668447
Entity Type Individual
Full Name LAURIE FORTIN
Other Name TINA FORTIN
Credential CADC
Practice Address 1122 Ne 122nd Ave Ste A102
Portland
OR 97230-2082
Practice Telephone 8552379882
Enumeration Date 2020-01-14
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers LAURIE FORTIN

NPI Name Taxonomy Address Enumeration
1396876736 Laurie Virginia Fortin Social Worker 3020 Childrens Way, San Diego, CA 92123-4223 2007-03-08

Office Location

Street Address 1122 NE 122ND AVE STE A102
City PORTLAND
State OR
Zip Code 97230-2082

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073081881 Sober Living Oregon Recovery Center Clinic/Center 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2018-11-09
1386275808 Ian Stuart Murphy Counselor 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2020-02-03
1881235406 Julia Rose Eggen Counselor 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2019-10-04
1073154605 Kazia Sing Romain Berman Counselor 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2019-10-04
1639637325 Laura Faye Dunn Counselor 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2019-03-12
1912462417 Summer Baker Counselor 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 2019-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687233 Timisha K Wilson Social Worker 12505 Ne Halsey St, Portland, OR 97230 2018-07-30
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
Find all providers in zip 97230

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163657 Kevin Charles Reiser Counselor 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1639703960 Elizabeth Ann Anderson Counselor 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
1194356618 Deforrest Kwesi Jackson Counselor 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 2020-02-03
1760012942 Jesse Decker Counselor 7015 N Boston Ave, Portland, OR 97217-5711 2020-01-16
1740829076 Ryan Christianson Counselor 2707 Ne Flanders St, Portland, OR 97232-3159 2020-01-03
1083264477 Kayla Rose Paris Counselor 420 Cumberland Ave, Portland, ME 04101-2823 2019-09-17
1275193260 Anna Khval Counselor 1500 Se 122nd Ave, Portland, OR 97233-1207 2019-06-20
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97230

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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