Individual
DR. JAKE ANTHONY WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 701-4624
Mailing address
3264 COPLEY ST, SIMI VALLEY, CA 93063-2670
(805) 404-8018
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
DO222057
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
02/01/2025
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