Individual
MR. WILLIEFRED M FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT, #414, PORTLAND, OR 97213
(503) 235-5724
(503) 254-7892
Mailing address
5050 NE HOYT, #414, PORTLAND, OR 97213
(503) 235-5724
(503) 254-7892
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD19912
OR
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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