Organization
MARK WESTON, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WESTON MD (PRESIDENT/PHYSICIAN)
(503) 675-1137
Entity
Organization
Contact information
Practice address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 675-1137
(503) 534-1137
Mailing address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 675-1137
(503) 534-1137
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD22218
OR
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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