Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Erryn Weggenman, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1821463589

Erryn Weggenman, PHYSICIANASSISTANT is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
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Practice location Address checks out

9775 SW Wilshire St Ste 200
Portland, OR 97225-5067
Phone: (503) 646-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 174987 (OR)

Record details

NPI number1821463589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 7, 2015
Last updated in NPPESApril 22, 2019
Mailing address9775 Sw Wilshire St Ste 200, Portland, OR 97225-5067

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland