Individual
REBECCA MARIE FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10670 NE CORNELL RD STE 101, HILLSBORO, OR 97124-9221
(503) 216-9360
Mailing address
10670 NE CORNELL RD STE 101, HILLSBORO, OR 97124-9221
(503) 216-9360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55201
CA
363A00000X
Physician Assistant
Primary
PA191992
OR
Other
Enumeration date
12/02/2017
Last updated
03/15/2022
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