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Timothy Fortin
NPI 1659200764 · on the registry since 2026
Practice
- Address
- 5288 N Samson Ave
Boise, ID 83704 - Phone
- (208) 724-1597
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho