Individual
DA VID SAMUEL WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
3082 SW FAIRMOUNT BLVD, PORTLAND, OR 97239-1439
(503) 293-6806
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OR MD10649
OR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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