Individual
DR. STEPHEN PAUL FORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1098
(503) 335-2459
(503) 335-2428
Mailing address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1098
(503) 335-2459
(503) 335-2428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G29702
CA
Other
Enumeration date
12/29/2006
Last updated
03/15/2012
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