Fortman, Mary

Fortman, Mary is an individual health care provider with primary practice located at 915 Sheridan St Ste B103 , Port Townsend WA 98368-2931. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fortman, Mary can be contacted via phone (360) 385-4848.

Contact Information

Primary practice address
915 Sheridan St Ste B103 Port Townsend WA 98368-2931
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1154820892
LBN Legal business name Fortman, Mary
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2018
Last updated Feb 9th, 2018 - about 6 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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