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Dr. Darrell Lee Fort, MD
Specialist in Roseburg, Oregon
NPI 1710998794

Darrell Lee Fort is a Specialist based in Roseburg, OR. Darrell Lee Fort practices in Roseburg, OR and has the professional credentials of MD. The NPI Number for Darrell Lee Fort is 1710998794 and holds a License No. 21698 (Oregon).

The current practice location address for Darrell Lee Fort is 913 Nw Garden Valley Blvd, Roseburg, OR and can be reached out via phone at 541-440-1000. You can also correspond with Darrell Lee Fort through the mailing address at 1464 SE KANE ST, ROSEBURG, OR - 97470-4235 (mailing address contact number: 541-957-8570).

Location: 913 Nw Garden Valley Blvd, Roseburg, OR, 97470-4235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710998794
Provider Name
Darrell Lee Fort
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
913 Nw Garden Valley Blvd, Roseburg, OR, 97470-4235
Phone Number
541-440-1000
Fax Number
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
913 Nw Garden Valley Blvd
City
Roseburg
State
Oregon
Zip
97470-6523
Phone Number
541-440-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1464 Se Kane St
City
Roseburg
State
Oregon
Zip
97470-4235
Phone Number
541-957-8570
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
21698 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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