Individual
DR. JEFFREY P WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223-0803
(503) 215-9900
(503) 216-9219
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10304
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264259
—
OR
01
—
P00663008
RR MEDICARE
OR
Enumeration date
06/18/2006
Last updated
10/15/2012
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