Mark Stefanelli MD

My profession has lost its way. 

It no longer exists to serve its patients, but to advance the interests of corporate medicine.

As an alternative, I have decided to try a different model.

I now will be doing phone consults and house calls. To keep costs down, I will have no staff, no office, and no malpractice insurance.

And I will only be accepting cash payment at the time of service.

What I will have is 40 years experience (without a lawsuit or reprimand), and the pledge that my primary interest will be your well-being.

Please scroll down and review my Curriculum Vitae and my game plan.

If you agree to my terms and philosophy, and feel that I can be a service to you, send me an e-mail and will will go from there.

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Services Provided

Please be aware that I do not carry Malpractice Insurance. If this is a concern for you, please do not request my services.

Also, I am not vaccinated against COVID. However, I have had the virus and I had very good results treating myself.

If I care for you, you will receive my personal cell number in case there is any need for further guidance.

my fees


$100 for minor surgical procedures

I will also accept a discounted payment in silver

1 or 2 ounces


Medical Diagnosis

I am Trained and Board Certified in Internal Medicine, with 35 years of experience in multiple facilities. In addition to Medical Diagnosing, I can offer you a second opinion. If you are unsure where you will be best served, I can direct you. With 30 years of Emergency Room experience, I can advise you if the ER is your best option. I am also very knowledgeable of advising what tests you need (or don’t need) and I can offer suggestions for huge cost savings for imaging and lab work.

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Routine Checkup

Physical Exam
Sports Physical
Guidance through the Medical  System
Travel consultations

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Medication Prescription Service

Run out of medications and can't get to see you Physician?
I can write prescriptions to hold you over.
I do not accept Medicare, so I am one of the few Physicians who can  ( and will ) charge you for my services. As a result, I will be available if you need to be seen.

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Suturing of Lacerations

Ear canal cleaning

Abscess /cyst removal

Mole removal


Dental pain relief

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Having studied COVID throughout the epidemic, as well as recently having had it, I feel I have developed a very effective treatment protocol, one which is not available through the organized Medical System. I would suggest taking zinc and vitamin D as a prophylactic defense. Please only take the recommended doses as these substances are toxic at excess doses. If you think you have COVID, get tested (the public health department has this capability) and contact me  (or another Physician) as soon as possible. Do not accept “no treatment at this time” as an adequate evaluation.

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Not sure if I can help?

Not sure if I can help? Contact me and I’ll give you an honest answer.

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If you have a real emergency, do not waste time contacting me but go straight to the hospital.
That being said, people often underestimate what I can handle.

Contact me and I will advise you. If I refer you to the ER there will be no charge.

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My availability will be somewhat erratic, as I occasionally travel and have no backup.

However, when I am in town, I will pretty much be available 24/7.

Weekends are no different than weekdays for me.

I will post on my website when I plan on being out of town, otherwise text me and I'll tell you my availability..

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Health care is expensive. Much more expensive than it needs to be.

Most of the patients I deal with have no insurance or high deductibles. This is the group that has the most to gain by being knowledgable of cost savings.

At the bottom of my site are some tips. I will be expanding this section in the future, and I welcome any cost saving suggestions.


Credentials / CV



Residency in Internal Medicine | UMDNJ-University Hospital | Newark, NJ | July 1986-June 1989

MD Degree | UMDNJ | Newark, NJ | September 1981-December 1985

Bachelors of Science, Biology | Penn State University June 1978-February 1980

Lafayette College | September 1975-June 1977


DEA License| Oregon


UPIN | E57953

NPI | 1366486912

Oregon MD19990

Washington MD60022444

New Zealand MD | 63867 | Permissible to expire

New Jersey MD | 51504 | Relinquished due to relocation

Pennsylvania MD | 041390 | Relinquished due to relocation

Board Certification Internal Medicine | 1995; Recertified 2012

BLS | 2/2019

ACLS | 2/2019

ATLS | 10/2018

PALS | 5/2018


ED Staff Physician: Emergency Room & Hospitalist Coverage

Columbia Basin Hospital, Ephrata, Washington                                                                   October 2016- March 2021

  • Rural Emergency Department with 5,000 annual visits

  • Single coverage 24-hour shifts

  • No specialist coverage

  • Responsible for ED care, transfers and admitting patients

  • Hospitalist coverage for limited admissions

ED Staff Physician: Emergency Room

Forks Community Hospital, Forks, Washington

  • Rural Emergency Department with 6,000 annual visits                                          December 2016-June 2016

  • Single coverage 24-hour shifts

  • Surgical, Anesthetist, OB backup

ED Staff Physician: Emergency Room

Ocean Beach Hospital, Ilwaco, Washington                               May 2016-October 2016

  • Rural Emergency Room with 10,000 annual visits

  • Single coverage 24-hour shifts

  • Surgery, anesthetist backup; responsible for ER care, transfers and admitting orders

Volunteer Medical Service

Lamap, Vanuatu                     January 2016

  • Worked with Troppodoc, a small NGO, supplying medical services for remote, indigenous natives on islands where no medical service is available

Intermittent work for International ISOS as a locums physician from September 2014 until September 2015, mostly serving expatriates who are working and/or traveling in areas where the health care facilities do not meet international standards

  • Oversee local physicians

  • Routine exams and vaccinations

  • Health maintenance of chronic problems

  • Minor emergencies

  • Major emergencies, including stabilization and evacuation to appropriate facilities

  • Inpatient management of short term admissions

Staff Physician

Saigon ISOS, Saigon, Vietnam                           September 2014-April 2015

Chief Medical Officer
Yangon ISOS Clinic, Mayanmar April-May 2014; May 2015

Staff Physician

Nauru Island         December 2014-January 2015

  • Refugee processing center for the Australian government

  • Employed through ISOS

ED Staff Physician: Emergency Room

Southern Coos Hospital, Bandon, Oregon   June-September 2014; June-October 2013

  • Supplying ED coverage as well as hospitalist responsibilities

ED Staff Physician: Emergency Room

Curry General Hospital, Gold Beach, Oregon           August-October 2014

Medical Officer: Emergency Room

Taupo Hospital, Taupo, New Zealand       July 2012-March 2013

  • Single coverage Emergency Room with approximately 10,000 visits per year

  • Included medical ward responsibilities at night and on weekends

Staff Physician: Emergency Room

Forks Community Hospital, Forks, Washington                         April 2009-July 2012

  • Rural Emergency Room with approximately 6,000 visits per year with four hour transfer

time to medical center

  • Single coverage with 48 hour shifts

  • OB, surgery and anesthetist backup; responsible for all evaluation, ER care, transfers

and admitting orders

Staff Physician: Emergency Room

Ocean Beach Hospital, Ilwaco, Washington                   January 2010-July 2012

  • Rural Emergency Room with 8,000 annual visits

  • Single coverage 24 hour shifts

  • Surgery, anesthetist backup; responsible for ER care, transfers and admitting orders

Staff Physician: Emergency Room & Hospitalist Coverage

Willipa Harbor Hospital, South Bend, Washington         June 2010-July 2012

  • Rural Emergency Room with 4,000 annual visits

  • Occasional weekend coverage

  • Anesthetist backup; responsible for Emergency Room coverage as well as Hospitalist care

Staff Physician

Lower Columbia Clinic, Astoria, Oregon       January 2011-Present

  • Private family practice clinic treating approximately 20 patients per day

  • Provide occasional coverage for Dr. Thomas Duncan during his vacations


Seaside Urgent Care, Seaside, Oregon               January 2007-August 2008

  • Urgent care with approximately 11,000 visits in 18 months of operation

  • Opened urgent care from scratch, functioning as a free-standing ER, providing

outpatient care, IV therapy, X-ray and simple fracture/casting, as well as

providing short-term primary care for patients who were between providers

  • Performed physicals for DOT, fire and police departments

  • Business was forced to close due to opening of three urgent care by two hospitals in community

Staff Physician

McMinnville Immediate Care, McMinnville, Oregon   January-September 2009

  • Urgent care facility serving approximately 30 patients per day

Staff Physician: Emergency Room & Hospitalist

Mark Reed Hospital, McCleary, Washington         April 2009-May 2010

  • Emergency Room consisting of 4 ER beds and 4 hospital beds with no specialty backup

  • Provided care, stabilization and transfer for anyone who walked in for 36-72 hour shifts

Staff Physician: Emergency Room

North Coast Emergency Physicians, staffing Columbia Memorial Hospital ER, Astoria, Oregon

                  July 2006-February 2007

  • Level III trauma Emergency Room with 15,000 visits per year

  • Coverage by OB, surgery, ENT, urology and anesthetists

Physician Advisor: Fire Departments

Fire Departments, Seaside and Gearhart, Oregon             January 2004-January 2006

  • Physician advisor for the two local volunteer fire departments

  • Responsibility included chart review and STAT consultations

  • Occasionally called to scenes to assist primary responders

Staff Physician:  Emergency Room

Providence Seaside Hospital, Seaside, Oregon           July 1996-July 2006

  • Emergency Room with approximately 10,000 annual visits per year

  • Single coverage 24 hour shifts

  • Coverage provided by OB, surgery and anesthetists

Staff Physician: Emergency Room

Forbes Metropolitan Hospital, Pittsburgh, Pennsylvania             December 1990-June 1996

  • Forbes Regional saw approximately 50,000 patients per year

  • Single to triple physician coverage

  • Partner in twelve physician group covering two hospitals

Staff Physician: Emergency Room

Shadyside Hospital/Sewickley Valley Hospital, Pittsburgh, Pennsylvania                   August -December 1990

Staff Physician: Emergency Room

St. Joseph’s Hospital, Patterson, New Jersey         June 1989-June 1990

  • High volume, fast-paced inner city Emergency Room with double coverage


New York City Department of Health, Department of Sexually Transmitted Diseases,

New York, New York             January-June 1986

  • Job held between Medical School and Residency, prior to becoming a licensed MD

  • Responsible for organizing epidemiologic studies as well as assisting staff physicians

In the various public health facilities of NYC


Prescription renewalsProphylactic prescriptions for travelTravel consults



Try and stay away from the hospital

  Urgent Cares are preferable to the ER

    -Some Urgent Cares are linked to hospitals and serve mainly as

      feeders to the Hospital.

    -Make sure (ask) that your visit is not billed as an Emergency Department visit.

  If possible, do not use the Hospital's lab or Imagining services. If you doctor suggests non-urgent studies, ask them for a prescription for what they want and take it to an independent facility.

LabCorp in Astoria or Quest in Longview will draw your blood and send the results to your doctor. They are both MUCH less expensive.

FYI: In Washington state you do not need a prescription for lab work.

For imaging, Longview Radiologists can do almost any study at a deep discount, especially if you pay at the timer of service.


Consider a High Deductible/ Catastrophic plan

Look into Health Sharing Plan.

These are faith based non-profit organizations that work differently from Insurance Companies. Cost savings are significant.


There are excellent Dentists in Mexico for a fraction of what they charge here. For the cost of a root canal and a crown you can get the bonus of a week long vacation on a sunny beach.

For the truly adventurous, there are excellent Hospitals in Asia, often staffed with American trained Doctors.

Australian and New Zealand will allow you to pay cash for services at deep discounts to what you pay in the US.

Having worked in Asia I would have no hesitancy as to receiving cared there. You just need to do redsearch.