EVAN JACOB FERTIG

PORTLAND, OR
NPI1275515918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR  MD173687)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: CT  043292)
Enumeration Date2005-11-17
Last Update Date2020-10-15
Business Address
EVAN JACOB FERTIG MD
5050 NE HOYT ST SUITE 615
PORTLAND, OR 97213-2958
Phone number: 503-215-8580
Mailing Address
EVAN JACOB FERTIG MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: