George S. Fortner, M.D.
in Longview, WA. Individual provider (NPI-1).
NPI number1154329324
StatusActive
Last updated in NPPESNov 14, 2007
Details
- NPI
- 1154329324
- Entity type
- Individual (NPI-1)
- Name
- George S. Fortner
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2005
- Last updated
- Nov 14, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | MD00016906 | WA | Yes |
Practice location
1615 Delaware StLongview, WA 98632-2310
Phone 360-501-3500 · Fax 360-501-3555
Mailing address
Po Box 3002Longview, WA 98632-0302
Phone 360-414-2048 · Fax 360-575-6749
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