Brad Fortune, ODPHD
Brad Fortune, ODPHD is an Optometrist in Portland, Oregon. Licensed in California and Oregon. Registered with an NPI since 2006.
- Licensed in
- CA, OR
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1040 NW 22nd Avenue Devers Eye InstitutePortland, OR 97210
Phone: (503) 413-1198
Fax: (503) 413-5179
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 2824T (OR) |
|---|---|
| Optometrist | Taxonomy 152W00000X · Licence 9833 (CA) |
Record details
| NPI number | 1932271566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ODPHD |
| Sole proprietor | No |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1225 Ne Second Avenue, 3rd Floor Discoveries In Sight, Portland, OR 97232 |
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