Provider Demographics
NPI:1265534903
Name:FORTUNE, LINDA FRANCES (RN MN PMHNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:FRANCES
Last Name:FORTUNE
Suffix:
Gender:F
Credentials:RN MN PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1801
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339
Mailing Address - Country:US
Mailing Address - Phone:541-740-5642
Mailing Address - Fax:541-745-7741
Practice Address - Street 1:1300 NW HARRISON
Practice Address - Street 2:SUITE 130
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:541-740-5642
Practice Address - Fax:541-745-7741
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health