Individual
ROBERTA ANN FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8881 NW PIKE RD, YAMHILL, OR 97148-8208
(503) 662-3291
Mailing address
8881 NW PIKE RD, YAMHILL, OR 97148-8208
(503) 662-3291
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
00335
OR
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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