Active NPI
David C Marks, MA MFT
- Marriage & Family Therapist
- Portland, OR
National Provider Identifier
1154632206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 48474 | CA | MD | Marriage & Family Therapist |
| T1242 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ties Counseling Center | Past | 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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1346667565
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.