Individual
KATHLEEN M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
414 N MERIDIAN ST # 6121, NEWBERG, OR 97132-2697
(503) 554-2707
Mailing address
PO BOX 896, NEWBERG, OR 97132-0896
(503) 554-2707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12834
OR
Other
Enumeration date
07/29/2010
Last updated
07/30/2010
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