IndividualActive
Michael Fortune, MD
NPI 1053430645 · Anatomic Pathology & Clinical Pathology Physician · Corvallis, OR
Provider details
- NPI number
- 1053430645
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD14008 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3600 Nw Samaritan Dr
Good Samaritan Regional Medical Center
Corvallis, OR 97330-3737
Phone: (541) 768-5572
Fax: (541) 768-5047
Street-level locationGet directions
Mailing address
7635 Nw Mcdonald Cir
Corvallis, OR 97330-9544
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.