Individual
ANTHONY J FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 627-4930
(253) 627-4649
Mailing address
PO BOX 31001-1525, PASADENA, CA 91110-1525
(253) 565-9765
(253) 584-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00024123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053297
—
WA
01
—
50122
L & I
—
01
—
FO5664
B/S REGENCE 90
—
Enumeration date
07/11/2006
Last updated
08/21/2020
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