Individual provider · Type 1 NPI

Donald W. Fortlage

Pediatrics Physician · Milwaukie, OR

NPI number 1659369304 Active

Practice location

10202 SE 32nd Ave, Suite 201
Milwaukie, OR 97222-3610

Fax (503) 653-0844

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XMD07219 (OR)
Pediatrics Physician 208000000XMD00021724 (WA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1659369304

Donald W. Fortlage's National Provider Identifier is 1659369304, issued on Oct 7, 2005. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 13, 2026.