Individual provider Active NPI

Sydnee Torrence Weber

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1386124881
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00771000 Issued in NJ
Practice address
13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074
Phone
(971) 300-0654
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Physician Assistant 363A00000X 25MP00771000 NJ Primary

Addresses

Primary practice location

13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074

Mailing address

PO Box 95000, LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other practice location 1

17 State Rt 23 N
Hamburg, NJ 07419-1419
Phone (973) 827-7800

Other practice location 2

500 Greenwich St
Belvidere, NJ 07823-1409
Phone (908) 475-9990

Other practice location 3

254B Mountain Ave Ste 100
Hackettstown, NJ 07840-2413
Phone (908) 852-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230515002886 NJ Practitioner - Physician Assistant 3274999347 Reassigns benefits to 1 organization
I20241111000228 OR Practitioner - Physician Assistant 3274999347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians

Practice addresses (Care Compare)

13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654

9895 SE Sunnyside Rd
Suite F
Clackamas, OR 97015-9745
Phone (971) 300-0654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince May 1, 2023 Accepting new patients
Primary Care Partners, LLC CurrentSince May 1, 2023 Accepting new patients
Robert Olsen MD Washington PC PastSince Oct 6, 2024 Accepting new patients

Locations

500 Greenwich St
Belvidere, NJ 07823
Phone (908) 475-8750

17 State Rt 23 N
Hamburg, NJ 07419
Phone (973) 827-7800

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1386124881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000, LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 SW 72ND AVE STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238074",
            "telephone_number": "971-300-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 State Rt 23 N",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NJ",
            "postal_code": "074191419",
            "country_code": "US",
            "telephone_number": "973-827-7800",
            "fax_number": "973-209-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Greenwich St",
            "address_purpose": "LOCATION",
            "city": "Belvidere",
            "state": "NJ",
            "postal_code": "078231409",
            "country_code": "US",
            "telephone_number": "908-475-9990",
            "fax_number": "908-475-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254B Mountain Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078402413",
            "country_code": "US",
            "telephone_number": "908-852-6400",
            "fax_number": "908-852-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRENCE WEBER",
        "first_name": "SYDNEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00771000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.