Individual ProviderDavid WeitzmanCounselorBehavioral Health & Social Service ProvidersPractice Address9255 NE Halsey St, Portland, OR 97220-4578(971) 977-4502PECOS EnrollmentBased on the most recent information from CMS, provider David Weitzman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770396921Provider TypeIndividualFull NameWeitzman, DavidGenderMaleSole ProprietorNoEnumeration Date1/30/2025Last Updated1/30/2025Contact InformationPractice LocationPractice Address9255 NE Halsey St, Portland, OR 97220-4578Phone(971) 977-4502FaxUnlisted FaxMailing LocationMailing Address8915 SW Center St, Portland, OR 97223-6307PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOregon