IndividualActive
Olga Fortenko, M.D.
NPI 1154596336 · Pulmonary Disease Physician · Meridian, ID
Provider details
- NPI number
- 1154596336
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A110003 (CA)
Practice location
2347 E Gala St
Meridian, ID 83642-4881
Phone: (208) 323-3767
Fax: (208) 323-3768
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.