Individual
DR. JACOB ERNEST WEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MDS
Contact information
Practice address
2730 SW MOODY AVE, MAIL CODE: SD-PERI, PORTLAND, OR 97201-5042
(503) 494-1352
(503) 494-5777
Mailing address
2730 SW MOODY AVE, MAIL CODE: SD-PERI, PORTLAND, OR 97201-5042
(503) 494-1352
(503) 494-5777
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D4090
OR
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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