Individual ProviderJeffrey MyersPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-6346(503) 724-1836PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Myers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508042995Provider TypeIndividualFull NameMyers, JeffreyTitleMr.CredentialPAGenderMaleSole ProprietorNoEnumeration Date1/15/2008Last Updated3/15/2013Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-6346FaxUnlisted FaxMailing LocationMailing Address1926 W Burnside St # 719, Portland, OR 97209-2066Phone(503) 724-1836FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA01338Oregon