NPI 1053430645

Michael A. Fortune, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Corvallis, OR

Practice location

Address: 3600 NW Samaritan Dr Good Samaritan Regional Medical Center, Corvallis, OR 97330-3737
Phone: (541) 768-5572
Fax: (541) 768-5047
Mailing address: 7635 NW McDonald Cir, Corvallis, OR 97330-9544

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD14008 (OR)

Other Pathology providers in Oregon →

Registry record

NPI: 1053430645
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2007
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.