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

Mark S Fettman, MD

Individual provider Psychiatry Physician · NPI 1043201981

Mark S Fettman, MD is a Psychiatry Physician in Portland, Oregon. Licensed in Ohio and Oregon. Registered with an NPI since 2005.

Licensed in
OH, OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9155 SW Barnes Rd Ste 333
Portland, OR 97225-6630
Phone: (503) 216-5102
Fax: (503) 216-2485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD175068 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 35059345 (OH)

Record details

NPI number1043201981
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

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