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Individual

DR. RYAN ROBERT FORTNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD

Contact information

Practice address
3614 MERIDIAN ST, SUITE 100, BELLINGHAM, WA 98225-1748
(360) 734-2800
(360) 734-3818
Mailing address
3560 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-1731
(360) 734-2800
(360) 734-3818

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD60131035
WA
207ZP0101X
Anatomic Pathology Physician
Primary
MD60131035
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD60131035
MEDICAL LICENSE
WA
01
MEDS7006
MEDICAL LICENSE
AK
Enumeration date
12/27/2006
Last updated
01/10/2023
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