| Doctor Name: | LINDA BELLER FANNING |
| NPI Number: | 1922135771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, ACSW |
| License Number: | L1807 |
| Business Practice Address: | 2507 Christie Cr. Marylhurst, OR - 97036 |
| Business Phone Number: | 5036353416 |
| Business Fax Number: | 5036976932 |
| Mailing Address: | Po Box 368, MARYLHURST |
| State: | OR |
| Postal Code: | 970360368 |
| Phone Number: | 5036353416 |
| Fax Number: | 5036976932 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L1807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |