MARK S FETTMAN MD
NPI 1043201981
Psychiatry & Neurology - Psychiatry in Portland, OR

Active since October 31, 2005
9155 SW BARNES RD STE 333, PORTLAND, OR 97225(503) 216-5102(503) 216-2485 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2022, Oct 2, 2020, Nov 10, 2017 (3 updates tracked since 2017).

About Mark S Fettman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK S FETTMAN MD (NPI 1043201981) is an individual psychiatry provider in Portland, Oregon, licensed in Oregon (MD175068) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1043201981
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK S FETTMANCredential: MD
Location Address9155 SW BARNES RD STE 333Portland, OR 97225-6630
Mailing AddressPo Box 3158Portland, OR 97208-3158
Fax(503) 216-2485
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
NPI 1043201981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in OR · MD175068 Licensed in OH · 35059345
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

9155 SW BARNES RD STE 333, Portland, OR 97225

Other Identifiers 1

Medicaid500698053OR

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Social Worker (Clinical)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Social Worker
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Clinical Neuropsychologist
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225
Nurse Practitioner (Psychiatric/Mental Health)
9155 SW BARNES RD STE 333
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fettman's NPI number?

The NPI number for Mark Fettman is 1043201981. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Mark Fettman located?

Mark Fettman practices at 9155 SW Barnes Rd Ste 333, Portland, OR 97225. The listed phone number is (503) 216-5102.

What is Mark Fettman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Mark Fettman was last updated on February 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.