Individual
DANA FORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6059
Mailing address
3034 NE 49TH AVE, PORTLAND, OR 97213-1845
(503) 232-7922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4063
OR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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