Fortune, Michael A.

Fortune, Michael A. is an sole proprietor health care provider with primary practice located at 3600 Nw Samaritan Dr Good Samaritan Regional Medical Center, Corvallis OR 97330-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fortune, Michael A. can be contacted via phone (541) 768-5572.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Good Samaritan Regional Medical Center Corvallis OR 97330-3737
Phone: (541) 768-5572
Fax: (541) 768-5047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD14008 Oregon

Profile Details

NPI number 1053430645
LBN Legal business name Fortune, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated May 13th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053430645 NPPES
Oregon MEDICAID 060186

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