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Glynne Henry Trevor Wheler

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 Glynne Henry Trevor Wheler 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
1659386167
Provider Type
Individual
Full Name
Wheler, Glynne Henry Trevor
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/31/2006
Last Updated
7/8/2007

Contact Information

Practice Location

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

(503) 494-5249

Unlisted Fax

Mailing Location

2235 NW Johnson St Apt 201, Portland, OR 97210-5212

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD16790 Oregon

Provider Identifiers

ID	Description	Issuer
ID 151069	Description Medicaid	Issuer Unlisted Oregon

Glynne Henry Trevor Wheler

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

Kinzie, John Mark

Zhang, James

Myers, Jessica Layne

Batuman, Cem

Griebeler, Meridith Amanda

Passmore, Thomas Albert

Tacker, Katherine Ann

Hancey, James Orlo

Stanley, Michael Sean

Barrett, Thomas Beach