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James Orlo Hancey

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

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

PECOS Enrollment

This provider is enrolled in PECOS as JAMES HANCEY.

Based on the most recent information from CMS, provider James Orlo Hancey 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
1538175088
Provider Type
Individual
Full Name
Hancey, James Orlo
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/1/2006
Last Updated
10/11/2013

Contact Information

Practice Location

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

(503) 494-6173

(503) 494-6170

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 MD15189 Oregon

Provider Identifiers

ID	Description	Issuer
ID 010921	Description Medicaid	Issuer Unlisted Oregon

James Orlo Hancey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cornejo, Brandon J

Keepers, George Alan

Kinzie, John Mark

Leung, Paul Kahing

Sack, Robert Leroy

Wilson, William Harwell

Lewy, Alfred James

Beckman, Morgyn

Anderson, Jordan Roderick

Yousuf, Sameer Syed