Individual
DR. RICHARD ALLAN FORT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3822 RIDGEWOOD DR, OAK HARBOR, WA 98277-7708
(360) 257-9646
(360) 257-9650
Mailing address
3822 RIDGEWOOD DR, OAK HARBOR, WA 98277-7708
(360) 257-9646
(360) 257-9650
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
MD00023848
WA
Other
Enumeration date
02/18/2006
Last updated
07/08/2007
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