Individual
DENISE NICOLE WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48152
AZ
207Q00000X
Family Medicine Physician
LL18427
OR
207Q00000X
Family Medicine Physician
Primary
MD156997
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500628666
—
OR
Enumeration date
06/08/2009
Last updated
03/13/2019
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