Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donald W. Fortlage

Individual provider Pediatrics Physician · NPI 1659369304

Donald W. Fortlage is a Pediatrics Physician in Milwaukie, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2005.

Licensed in
OR, WA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

10202 SE 32nd Ave Ste 201
Milwaukie, OR 97222-3610
Phone: (503) 653-0770
Fax: (503) 653-0844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD07219 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence MD00021724 (WA)

Record details

NPI number1659369304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESJuly 13, 2026

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