Individual
MARK CECIL WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19255 SW 65TH AVE, SUITE 110, TUALATIN, OR 97062-7451
(503) 208-9432
(503) 673-1520
Mailing address
19255 SW 65TH AVE, SUITE 110, TUALATIN, OR 97062-7451
(503) 208-9432
(503) 673-1520
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD22218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288454
—
OR
Enumeration date
06/13/2006
Last updated
03/24/2015
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