NPI 1639318181

Gerald I Fogel, MD

Practitioner Psychoanalyst Portland, OR

Practice location

Address: 2455 NW Marshall St Suite 5, Portland, OR 97210-2949
Phone: (503) 224-7395
Fax: (503) 223-5802
Mailing address: 2455 NW Marshall St Suite 5, Portland, OR 97210

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence 19867 (OR)

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Registry record

NPI: 1639318181
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2009
Record last updated: 6 Feb 2009

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.