Dr Ryan Robert Fortna, MD, PHD | |
3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 | |
(360) 734-2800 | |
(360) 734-3818 |
Full Name | Dr Ryan Robert Fortna |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology |
Location | 3614 Meridian St, Bellingham, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811052855 | NPI | - | NPPES |
MD60131035 | Other | WA | MEDICAL LICENSE |
MEDS7006 | Other | AK | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | MD60131035 (Washington) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | MD60131035 (Washington) | Primary |
Entity Name | Northwest Pathology Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184132292 PECOS PAC ID: 4587553318 Enrollment ID: O20180215002491 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Robert Fortna, MD, PHD 3560 Meridian St Ste 101, Bellingham, WA 98225-1731 Ph: (360) 734-2800 | Dr Ryan Robert Fortna, MD, PHD 3614 Meridian St, Suite 100, Bellingham, WA 98225-1748 Ph: (360) 734-2800 |
Scott Michael Chatterley, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Raymond Mark Owings, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Valerie Catherine Mcwhorter, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3614 Meridian St., Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. John Wesley Hoyt, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Christopher Clay Danenhower, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 | |
Dr. Frank Ephraim Thomas, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 929 11th St, #302, Bellingham, WA 98225 Phone: 360-734-1822 | |
Kelly Ann Lloyd, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3614 Meridian St, Suite 100, Bellingham, WA 98225 Phone: 360-734-2800 Fax: 360-734-3818 |