NPI 1265463996

Samuel J Fellin, DO

Practitioner Internal Medicine Physician Tigard, OR

Practice location

Address: 12442 SW Scholls Ferry Rd Suite 106, Tigard, OR 97223-3396
Phone: (503) 216-9200
Fax: (503) 212-6922
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence DO16616 (OR)

Other Internal Medicine providers in Oregon →

Registry record

NPI: 1265463996
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.