Most Relevant Information
Provider Data
| NPI Number: | 1003071721 |
| Provider Name: | LYNN A FONTANA L.M.F.T, PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | T0209 |
Most Important Dates
| Enumeration Date: | 07/22/2008 |
| Last Updated: | 07/22/2008 |
Provider Practice Location
8035 NE PRESCOTT ST
PORTLAND
OR
972184249
Practice Location Phone/Fax
| Phone: | 5032237719 |
| Fax: | 5032554714 |
Provider Mailing Location
8035 NE PRESCOTT ST
PORTLAND
OR
972184249
Provider Mailing Phone/Fax
| Phone: | 5032237719 |
| Fax: | 5032554714 |