Individual
JAN WEICHSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 652-2888
Mailing address
3550 N INTERSTATE AVE OFC, PORTLAND, OR 97227-1196
(503) 652-2888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
182318
OR
Other
Enumeration date
06/28/2014
Last updated
02/04/2022
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