Individual
NATHANAEL CLETUS WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
(541) 768-5300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO178280
OR
207Q00000X
Family Medicine Physician
PG172017
OR
Other
Enumeration date
04/01/2015
Last updated
03/17/2023
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