Individual
JAMES MICHAEL WINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MCS006438A
MA
207Q00000X
Family Medicine Physician
Primary
MD212118
OR
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD212118
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD212118
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
08/22/2022
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