Active NPI
Lana Smith Weber, MD
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1164929246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200300
- Practice address
- 3407 S Corbett Ave
Portland, OR 97239-4621 - Phone
- (503) 809-8682
- Fax
- (503) 386-3278
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 200300 | OR | Primary |
Addresses
Primary practice location
3407 S Corbett Ave
Portland, OR 97239-4621
Mailing address
3407 S Corbett Ave
Portland, OR 97239-4621
Phone (503) 809-8682
Other practice location 1
Ohsu
3181 SW Sam Jackson Park Rd.
Portland, OR 97239
Phone (503) 494-8211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 18, 2024 through Nov 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1164929246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 S CORBETT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394621",
"telephone_number": "503-809-8682",
"fax_number": "503-386-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 S CORBETT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394621",
"telephone_number": "503-809-8682",
"fax_number": "503-386-3278"
}
],
"practiceLocations": [
{
"address_1": "OHSU",
"address_2": "3181 SW Sam Jackson Park Rd.",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97239",
"country_code": "US",
"telephone_number": "503-494-8211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "LANA",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "200300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.