Fawn Newport
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lakeview, OR
NPI 1447972757 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1447972757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 700 S J St
Lakeview, OR 97630-1623 - Phone
- (541) 947-2114
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OR | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
700 S J St
Lakeview, OR 97630-1623
Mailing address
700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114
Other providers in Lakeview, OR
- Erika Mendias
- Michael Sabin DMD PC
- Heidi Miller
- Susan Ann Mungarro
- Jama Lynn Nelson
- Robbie Wayne Newport
- Christine Newton
- Oregon Department of Corrections
- Elieana Ostiguin
- Donald Frank Ott
All providers in Lakeview, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.