Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew John Mundt-Fettkether

Individual provider Occupational Therapist · NPI 1114564481

Andrew John Mundt-Fettkether is an Occupational Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

5330 NE Prescott St
Portland, OR 97218-2158
Phone: (503) 288-6585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 413330 (OR)

Record details

NPI number1114564481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 5, 2019
Last updated in NPPESDecember 5, 2019

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