Dennis Weathers

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Sutherlin, OR

NPI 1821746850 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1821746850
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
1200 E Central Ave SPC 23
Sutherlin, OR 97479-9624
Phone
(541) 391-2145
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

1200 E Central Ave SPC 23
Sutherlin, OR 97479-9624

Mailing address

1200 E Central Ave SPC 23
Sutherlin, OR 97479-9624
Phone (541) 391-2145

Other providers in Sutherlin, OR

All providers in Sutherlin, OR · Non-emergency Medical Transport (VAN) in Oregon

Sources for this page

Verify at the official NPI Registry.