Individual
MR. ANTHONY FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
980 SW 23RD PL, REDMOND, OR 97756-1320
(541) 526-5517
Mailing address
980 SW 23RD PL, REDMOND, OR 97756-1320
(541) 526-5517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000785A
PA
Other
Enumeration date
12/29/2014
Last updated
12/01/2015
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