Fort, Darrell Lee

Fort, Darrell Lee is an sole proprietor health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97470-6523. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fort, Darrell Lee can be contacted via phone (541) 440-1000.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97470-6523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21698 Kentucky

Profile Details

NPI number 1710998794
LBN Legal business name Fort, Darrell Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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