Dr. Darrell Lee Fort , MD
Specialist • Roseburg, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Darrell Fort has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Darrell Fort, MD was a registered Specialist practicing in Roseburg, OR. Throughout an active medical career spanning 20 years, Dr. Fort provided care at the practice location at 913 NW GARDEN VALLEY BLVD until profile deactivation on 2026-07-09.
Practice Location & Contact Primary Location
913 Nw Garden Valley Blvd
Roseburg, OR 974706523
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Roseburg, OR
Practicing in Roseburg, OR (1153 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist
Social Worker
Master of Social Work
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Registered Nurse - Medical-Surgical
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 09, 2026
NPI status registered as active in NPPES database
Registered at 913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 974706523 (Tel: 5414401000)
Registered at 1464 SE KANE ST, ROSEBURG, OR 974704235 (Tel: 5419578570)
Recorded as DARRELL FORT, M.D.
Specialist (License #21698 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1464 Se Kane St
Roseburg, OR 974704235
Phone: 5419578570
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