IndividualActive
Evan Fertig, MD
NPI 1275515918 · Neurology Physician · Portland, OR
Provider details
- NPI number
- 1275515918
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 043292 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5050 Ne Hoyt St
Suite 615
Portland, OR 97213-2958
Phone: (503) 215-8580
Fax: (503) 215-8585
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.