Mark S Fettman, MD - Psychiatry & Neurology in Portland, OR

Mark S Fettman, MD is a Psychiatry & Neurology - Psychiatry physician based in Portland, Oregon. Mark S Fettman is licensed to practice in Oregon (license number MD175068) and his current practice location is 9155 Sw Barnes Rd Ste 333, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 216-5102.

NPI number for Mark S Fettman is 1043201981 and his current mailing address is Po Box 3158, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043201981.

Contact Information

Mark S Fettman, MD
9155 Sw Barnes Rd Ste 333,
Portland, OR 97225-6630
(503) 216-5102
(503) 216-2485

Map and Direction




Physician's Profile

Full NameMark S Fettman
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location9155 Sw Barnes Rd Ste 333, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043201981
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 02/01/2022

Medical Identifiers

Medical identifiers for Mark S Fettman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043201981NPI-NPPES
500698053MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 35059345 (Ohio)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD175068 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark S Fettman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark S Fettman, MD
Po Box 3158,
Portland, OR 97208-3158

Ph: () -
Mark S Fettman, MD
9155 Sw Barnes Rd Ste 333,
Portland, OR 97225-6630

Ph: (503) 216-5102

Reviews and Comments


Psychiatry & Neurology Doctors in Portland, OR

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Dr. Melissa Beth Buboltz, M.D.
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Phone: 503-494-8311    

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