Individual provider · Type 1 NPI

Marcia E. Fornataro

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1972467124 Active

Practice location

1825 SW Broadway
Portland, OR 97201-3256

Call (503) 358-5723 Map

Mailing address

12205 SE 31st Pl Apt 121
Milwaukie, OR 97222-8626

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Portland

See all in Portland →

About NPI 1972467124

Marcia E. Fornataro's National Provider Identifier is 1972467124, issued on Dec 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2026.