Individual provider Active NPI

David C Marks, MA MFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1154632206
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1242 Issued in OR
Practice address
0333 SW Flower St
Portland, OR 97239-3754
Phone
(503) 349-2281
Fax
(503) 719-8987
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 48474 CA
Marriage & Family Therapist 106H00000X T1242 OR Primary

Addresses

Primary practice location

0333 SW Flower St
Portland, OR 97239-3754

Mailing address

2 Jefferson Pkwy
#H2
Lake Oswego, OR 97035-8879
Phone (503) 360-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 48474CAMDMarriage & Family Therapist
T1242ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Ties Counseling Center PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1154632206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JEFFERSON PKWY",
            "address_2": "#H2",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358879",
            "telephone_number": "503-360-5117",
            "fax_number": "503-719-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0333 SW FLOWER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393754",
            "telephone_number": "503-349-2281",
            "fax_number": "503-719-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MA MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48474",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.