Brad Fortune, OD PHD

NPI #1932271566 in Portland, Oregon

Provider Information

NPI Number: 1932271566
Entity Type: Individual
Name: Brad Fortune, OD PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD PHD
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1040 NW 22ND AVENUE
Address 2: DEVERS EYE INSTITUTE
City: Portland
State: Oregon
ZIP Code: 97210
Phone: (503) 413-1198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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