DONALD WAYNE FONTENOT

PORTLAND, OR
NPI1740328350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR  093007179RN)
Enumeration Date2007-02-03
Last Update Date2007-07-08
Business Address
-- DONALD WAYNE FONTENOT RN
2230 SE OAK ST
PORTLAND, OR 97214-1636
Phone number: 503-704-3116
Mailing Address
-- DONALD WAYNE FONTENOT RN
2230 SE OAK ST
PORTLAND, OR 97214-1636
Phone number: 503-704-3116
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