Individual
EVAN JACOB FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 615, PORTLAND, OR 97213-2958
(503) 215-8580
(503) 215-8585
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
043292
CT
2084N0400X
Neurology Physician
Primary
MD173687
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432921
—
CT
05
—
0171441
—
NJ
05
—
500689501
—
OR
Enumeration date
11/17/2005
Last updated
10/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us