DR. MARK S. YERBY MD
NPI 1891960860
Specialist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since April 29, 2008

830 NE 47TH AVE, PORTLAND, OR 97213(503) 978-0178(503) 286-7939 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mark S. Yerby Md NPPES

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

DR. MARK S. YERBY MD (NPI 1891960860) is an individual specialist in Portland, Oregon, licensed in Oregon (MD10835) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1891960860

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MARK S. YERBYCredential: MD

Location Address830 NE 47TH AVEPortland, OR 97213-2212

Mailing Address8316 N Lombard St, Pmb 324Portland, OR 97203-3727 · (503) 978-0178 · Fax (503) 286-7939

Phone(503) 978-0178

Fax(503) 286-7939

Sole ProprietorYes

Enumeration DateApril 29, 2008

Last NPPES UpdateFebruary 29, 2016

✔ NPI 1891960860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD10835

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License MD10835 (OR)

830 NE 47TH AVE, Portland, OR 97213

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Other Identifiers 6

Other099529000OR · Blue Cross

Other0000BJBPVOR · Medicare

OtherK72601OR · Pacificsource

Other1170059WA · Wa Medicaid

Medicaid060160OR

OtherR0000BJBPVOR · Group Medicare

Other Providers at the Same Location NPPES 20

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

DR. MONISHA GAGNEJA B.D.S

Dentist (Pediatric Dentistry)

830 NE 47TH AVE, PROVIDENCE CHILD CENTRE -SPECIALITY DENT
PORTLAND, OR 97213

Multnomah County (503) 215-1060

PROVIDENCE HEALTH & SERVICES-OREGON

Clinic/Center (Dental)

830 NE 47TH AVE, ATTN: DENTAL CLINIC
PORTLAND, OR 97213

Multnomah County (503) 215-2400

MRS. LYDIA M MERRIGAN RD, LD

Dietitian, Registered