Individual
DR. STEPHEN ALAN WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4035 SW MERCANTILE DR, STE 101, LAKE OSWEGO, OR 97035
(503) 697-3001
(503) 697-0906
Mailing address
4035 SW MERCANTILE DR, STE 101, LAKE OSWEGO, OR 97035
(503) 697-3001
(503) 697-0906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07794
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238535
—
OR
Enumeration date
05/15/2006
Last updated
07/08/2007
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