Individual
MARIO D. FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 501-3500
(360) 501-3555
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00027430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026125
—
OR
01
—
217048
LABOR & IND.
WA
05
—
8127359
—
WA
01
—
8943475
CRIME VICTIMS
WA
Enumeration date
07/12/2005
Last updated
11/14/2007
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