| Doctor Name: | DR. ERIN KATHLEEN ANDERSON FORTIER |
| NPI Number: | 1053538488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 1025 |
| Business Practice Address: | 1433 Se Kane St Roseburg, OR - 974704249 |
| Business Phone Number: | 2252887602 |
| Business Fax Number: | |
| Mailing Address: | 231 Cambridge Dr, SUTHERLIN |
| State: | OR |
| Postal Code: | 974799808 |
| Phone Number: | 2252887602 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |