Valerie Fong, RN MSN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

201240808 Issued in OR

Practice address

4400 NE Halsey St
Pop2, 3Rd FL
Portland, OR 97213-1545

Phone

(559) 312-7621

NPI assigned

Dec 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1851836076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NE HALSEY ST",
            "address_2": "POP2, 3RD FL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131545",
            "telephone_number": "559-312-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NE HALSEY ST",
            "address_2": "POP2, 3RD FL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131545",
            "telephone_number": "559-312-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "VALERIE",
        "name_prefix": "Ms.",
        "credential": "RN MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "501638",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OR",
            "license": "201240808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Fong, CCC-SLP
• John Wei Fong, PA
• Karen L Fong, DC, LAC
• Monica Fong
• Peter S Fong, MD, PHARMD
• Clement Nisbet Wilson Fonseca, LCSW
• Tami (Thao) T Fonseca, RPH
• Emma Fontaine
• Matthew David Fontaine, AAS
• Lynn A Fontana, L.M.F.T, PH.D.

• Administrator Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Administrator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.