Donald W. Fortlage
Pediatrics | Male
Donald W. Fortlage is a Milwaukie, Oregon based Pediatric doctor with medical specialization in
General Pediatrics. Donald W. Fortlage is also known as
Donald W Fortlage.
Current practice location of Donald W. Fortlage is
10202 Se 32nd Ave, Suite 201, Milwaukie, Oregon - 97222-3610. He can be contacted on phone at
503-653-0770 and fax number 503-653-0844.
Donald W. Fortlage is a sole proprietor of his business.
NPI number (Unique professional ID) for Donald W. Fortlage is
1659369304 which was assigned by NPPES on 07 Oct, 2005 and it was last updated on 09 Jul, 2007.
Donald W. Fortlage license number is
MD07219 for Pediatrics (208000000X) in Oregon.
Donald W. Fortlage is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Donald W. Fortlage basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Donald W. Fortlage |
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| Other Name : | Donald W Fortlage |
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| Gender : | Male |
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Business Address:
Donald W. Fortlage address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10202 Se 32nd Ave, Suite 201
Milwaukie, OR, 97222-3610
United States |
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| Phone Number : | 503-653-0770 |
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| Fax Number : | 503-653-0844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659369304 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Oct, 2005 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Donald W. Fortlage are as mentioned. Primary taxonomy code for Donald W. Fortlage is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD00021724 | WA |
| 208000000X | Pediatrics | Yes | MD07219 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Donald W. Fortlage such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 062844 | MEDICAID | OR | |
| D95253000001 | Other | OR | GOOD HEALTH PLAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10202 Se 32nd Ave, Suite 201
Milwaukie, OR, 97222-3610
United States |
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| Phone Number : | 503-653-0770 |
|---|
| Fax Number : | 503-653-0844 |
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Business Location:
Patients can refer following map for directions to
Donald W. Fortlage practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.