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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DARRELL LEE FORT, M.D.

Active Sole Proprietor

DR. DARRELL LEE FORT, M.D. is a Specialist healthcare provider located in ROSEBURG, Oregon. NPI 1710998794 is currently active in the NPPES registry. Verify at CMS.

Specialist · ROSEBURG, OR

Registration Details

NPI Number
1710998794
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2006 (20.046881354366 yrs)
Last Updated
Jul 8, 2007
License
21698 (KY)
Sole Proprietor
Yes

Practice Information

Address
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR, 974706523
Browse OR providers · Browse ZIP 97470
Phone
5414401000
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ROSEBURG, OR

Name Credential NPI
DR. JOHN D SPROED I M.D. 1841298429
MR. C. STEPHEN PATTERSON M.D. 1649238569
DR. BRIAN EUGENE HAYES M.D. 1508987314
DR. AGATHA SONG 1992925507
MR. JOE MAXEY BS 1033364211
ISIS KARENSHA LOPEZ 1922424985
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.