Fortna, Ryan Robert
Fortna, Ryan Robert is an individual health care provider with primary practice located at 3614 Meridian St Suite 100, Bellingham WA 98225-1748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Fortna, Ryan Robert can be contacted via phone (360) 734-2800.Contact Information
Primary practice address
3614 Meridian St Suite 100
Bellingham WA 98225-1748
Phone: (360) 734-2800
Fax: (360) 734-3818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD60131035 | Washington |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD60131035 | Washington |
Profile Details
| NPI number | 1811052855 |
|---|---|
| LBN Legal business name | Fortna, Ryan Robert |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jan 10th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811052855 | NPPES |
| Washington | Other | MD60131035 | MEDICAL LICENSE |
| Washington | Other | MEDS7006 | MEDICAL LICENSE |
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