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1053430645
MICHAEL A. FORTUNE
CORVALLIS, OR
NPI
1053430645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: OR MD14008)
Enumeration Date
2007-03-28
Last Update Date
2008-05-13
Business Address
-- MICHAEL A. FORTUNE MD
3600 NW SAMARITAN DR GOOD SAMARITAN REGIONAL MEDICAL CENTER
CORVALLIS, OR 97330-3737
Phone number: 541-768-5572
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Mailing Address
-- MICHAEL A. FORTUNE MD
7635 NW MCDONALD CIR
CORVALLIS, OR 97330-9544
Phone number:
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