ERIC RYAN FELLIN
NPI 1245955525
Student in an Organized Health Care Education/Training Program in Portland, OR
About Eric Ryan Fellin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC RYAN FELLIN (NPI 1245955525) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eric Ryan Fellin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eric Fellin's NPI number?
The NPI number for Eric Fellin is 1245955525. It was assigned to this individual provider in the NPPES registry on October 10, 2022.
Where is Eric Fellin located?
Eric Fellin practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Eric Fellin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Eric Fellin enrolled in Medicare?
Yes. Eric Fellin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Eric Fellin was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eric Ryan Fellin · NPI 1245955525
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1245955525 (Entity type: Individual)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245955525) · Data from the CMS NPPES public registry.