Individual
WESTON JAY CAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-2493
Mailing address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-2493
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD192710
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD192710
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD192710
MEDICAL LICENSE
OR
Enumeration date
05/07/2013
Last updated
08/07/2019
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