GENNADY FORTUNA
Counselor - Professional
Active
Individual
NPI: 1780204164
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | C6929 (OR) |
Frequently Asked Questions
NPI 1780204164 is the National Provider Identifier for GENNADY FORTUNA, a Counselor - Professional provider located in Gladstone, OR. This NPI was enumerated on April 25, 2020.
GENNADY FORTUNA practices at 880 82ND DR, Gladstone, OR 97027.
Quick Facts
- NPI
- 1780204164
- Type
- Individual
- Enumerated
- Apr 25, 2020
- Last Updated
- Oct 2, 2025
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