Individual provider Active NPI

Evan Jonathon Weber, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1760236566
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10024561 Issued in OR
Practice address
13228 SE Brooklyn CT
Portland, OR 97236-3035
Phone
(917) 583-5128
NPI assigned
Apr 16, 2024
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10024561 OR Primary

Addresses

Primary practice location

13228 SE Brooklyn CT
Portland, OR 97236-3035

Mailing address

13228 SE Brooklyn CT
Portland, OR 97236-3035
Phone (917) 583-5128

Other practice location 1

Psygient
44882 Mission Road
Pendleton, OR 97801-9293
Phone (541) 429-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001089 OR Practitioner - Nurse Practitioner 7719425024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Les Is More Mental Health, LLCGroup PAC ID 1759791684, 6 clinicians

Practice addresses (Care Compare)

44882 Mission Rd
Pendleton, OR 97801-9293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10024561ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Les Is More Mental Health, LLC CurrentSince Jul 1, 2024 Accepting new patients
Evan Weber Pmhnp LLC Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1760236566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13228 SE BROOKLYN CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363035",
            "telephone_number": "917-583-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13228 SE BROOKLYN CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363035",
            "telephone_number": "917-583-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PSYGIENT",
            "address_2": "44882 MISSION ROAD",
            "address_purpose": "LOCATION",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019293",
            "country_code": "US",
            "telephone_number": "541-429-0550",
            "fax_number": "541-276-3093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "EVAN",
        "middle_name": "JONATHON",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-08-30",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10024561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.