# FORGET ME NOT ULTRASOUND

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407264328
- **Authorized official:** ROXANNE ERTEL BA,CNMT,RDMS (CEO)
- **Authorized official phone:** (716) 984-4484

## Contact information

- **Practice address:** 2054 \#30TH AVENUE, FAIRBANKS, AK 99701-5720
- **Practice address phone:** (907) 987-7523
- **Mailing address:** 3346 DUNDEE LOOP, NORTH POLE, AK 99705-7481
- **Mailing address phone:** (907) 488-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 02/16/2016