Anthony Miles Archer | Portland, OR • PECOS Search

Anthony Miles Archer

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964

(502) 220-8262 (312) 926-8200

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Miles Archer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376786061
Provider Type
Individual
Full Name
Archer, Anthony Miles
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/11/2009
Last Updated
4/29/2019

Contact Information

Practice Location

3710 SW Us Veterans Hospital Rd, Portland, OR 97239-2964

Unlisted Fax

Mailing Location

251 E Huron St, Chicago, IL 60611-2908

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License DR.0055866 Colorado