MARK S FETTMAN


Address: 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630
Phone: 5032165102

MARK S FETTMAN (NPI# 1043201981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043201981
Entity Type Individual
Full Name MARK S FETTMAN
Credential MD
Practice Address 9155 Sw Barnes Rd Ste 333
Portland
OR 97225-6630
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5032165102
Practice Fax Number 5032162485
Enumeration Date 2005-10-31
Last Update Date 2020-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD175068 OR Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
35059345 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500698053 05

Office Location

Street Address 9155 SW BARNES RD STE 333
City PORTLAND
State OR
Zip Code 97225-6630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053968578 Jennifer M Brinkman Social Worker 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 2019-08-20
1518476282 Katrin E Beene Clinical Neuropsychologist 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 2017-09-26
1649684614 Melanie Lynne Johnson Counselor 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 2014-06-17
1124380944 Erika Siegel Social Worker 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 2012-06-08
1073659298 Kendall M Johnson Social Worker 9155 Sw Barnes Rd Ste 333, Portland, OR 97225-6630 2007-01-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447878947 Celia Mantovani Psychiatry & Neurology 15 Cypress St, Portland, ME 04103-2008 2020-07-10
1538782834 Endeavor Psychiatry LLC Psychiatry & Neurology Sw, Portland, OR 97219-5885 2020-05-20
1154942142 Prisma Wellness LLC Psychiatry & Neurology 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 2020-04-30
1588291082 Alexis Family Psychiatry, LLC Psychiatry & Neurology 415 Congress St Ste 202a, Portland, ME 04101-3500 2020-03-24
1881188084 Geriatric Psychiatry Associates Psychiatry & Neurology 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 2018-06-20
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1154839108 Cascade Tms LLC Psychiatry & Neurology 205 Se Spokane St Ste 301, Portland, OR 97202-6487 2018-01-11
1538601737 Diana S Domnitei Md LLC Psychiatry & Neurology 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 2016-11-06
1104286269 Anne Fleming, Md, LLC Psychiatry & Neurology 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 2016-03-02
1417338708 Andrew Justin Ruege Psychiatry & Neurology 5421 Sw Patton Rd, Portland, OR 97221-2226 2015-06-12
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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