SearchOregon208000000X

Donald Fortlage

NPI 1659369304 · on the registry since 2005

Practice

Address
10202 Se 32nd Ave
Suite 201
Milwaukie, OR 97222
Phone
(503) 653-0770
Fax
(503) 653-0844
Organisation at this address
John B Hardiman, Md Inc
Northwest Neurology Clinic
Suresh Kasaraneni, M.D., P.C.
Milwaukie Orthopedic Service Inc
Oregon Cosmetic And Reconstructive Clinic, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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 Oregon