Marcia E Fornataro
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
NPI number1972467124
StatusActive
Last updated in NPPESJun 11, 2026
Details
- NPI
- 1972467124
- Entity type
- Individual (NPI-1)
- Name
- Marcia E Fornataro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2025
- Certification date
- Jun 11, 2026
- Last updated
- Jun 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1825 Sw BroadwayPortland, OR 97201-3256
Phone 503-358-5723
Mailing address
12205 Se 31st Pl Apt 121Milwaukie, OR 97222-8626
Phone 503-358-5723
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