Look up the most recent NPI and PECOS records

Eric Weathers

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Eric Weathers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1275952277
Provider Type
Individual
Full Name
Weathers, Eric
Gender
Male

Sole Proprietor
No
Enumeration Date
4/8/2014
Last Updated
4/25/2018

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-8211

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD185550 Oregon
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 3902000000 Texas

Eric Weathers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gramann, Stacey

Rodriguez, Mikaela Lea

Kesserwani, Christie

Fang, Yunjing

Emens, Jonathan Scott

Dobscha, Steven Keith

Nelson, Laura Reilly

Chung, Janice

Anderson, Jordan Roderick

Bonney, Paul Matthew