Individual provider · Type 1 NPI

Evan Jacob Fertig, MD

Neurology Physician · Portland, OR

NPI number 1275515918 Active

Practice location

5050 NE Hoyt St, Suite 615
Portland, OR 97213-2958

Fax (503) 215-8585

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X043292 (CT)
Neurology Physician Primary 2084N0400XMD173687 (OR)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1275515918

Evan Jacob Fertig, MD's National Provider Identifier is 1275515918, issued on Nov 17, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2020.