# GLOBE WEIS MANAGEMENT GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083899413
- **Authorized official:** DR. JAY GORDON BETTS D.O. (OPHTHALMOLOGIST)
- **Authorized official phone:** (503) 698-2300

## Contact information

- **Practice address:** 10365 SE SUNNYSIDE RD, SUITE 150, CLACKAMAS, OR 97015-5741
- **Practice address phone:** (503) 698-2300
- **Practice address fax:** (503) 698-2308
- **Mailing address:** 10365 SE SUNNYSIDE RD, SUITE 150, CLACKAMAS, OR 97015-5741
- **Mailing address phone:** (503) 698-2300
- **Mailing address fax:** (503) 698-2308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | DO07540 | OR | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 01/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 067231 | — | OR |