Individual
MARCIA E FORNATARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 SW BROADWAY, PORTLAND, OR 97201-3256
(503) 358-5723
Mailing address
12205 SE 31ST PL APT 121, MILWAUKIE, OR 97222-8626
(503) 358-5723
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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