Individual ProviderAlan Robert TeoPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, 700 Kms Place, Portland, OR 97239-3011(503) 494-6176PECOS EnrollmentThis provider is enrolled in PECOS as ALAN TEO.Based on the most recent information from CMS, provider Alan Robert Teo is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174771083Provider TypeIndividualFull NameTeo, Alan RobertTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/4/2008Last Updated5/13/2021Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, 700 Kms Place, Portland, OR 97239-3011Phone(503) 494-6176Fax(503) 494-6152Mailing LocationMailing Address3181 SW Sam Jackson Park Rd, 700 Kms Place, Portland, OR 97239-3011Phone(503) 494-6176Fax(503) 494-6152Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense4301098102MichiganCode2084A0401XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense4301098102MichiganCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA104977CaliforniaCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD196327Oregon