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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVAN JACOB FERTIG, MD

Active

EVAN JACOB FERTIG, MD is a Neurology healthcare provider located in PORTLAND, Oregon. NPI 1275515918 is currently active in the NPPES registry. Verify at CMS.

Neurology · PORTLAND, OR

Registration Details

NPI Number
1275515918
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2005 (20.767539266048 yrs)
Last Updated
Oct 15, 2020
Licenses
043292 (CT)
MD173687 (OR)

Practice Information

Address
5050 NE HOYT ST
SUITE 615
PORTLAND, OR, 972132958
Browse OR providers · Browse ZIP 97213
Phone
5032158580
Fax
5032158585
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology

Other Neurology Providers in PORTLAND, OR

Name Credential NPI
EVELYN A. P. CURIOSO 1699777482
CATHERINE MARIE ELLISON MD 1831191535
DANIEL M GIBBS MD, PHD 1720080427
KIMBERLY LOUISE GOSLIN MD 1245222371
HUBERT A LEONARD MD 1386636769
LESLIE DAVIS MCALLISTER MD 1407848831
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.