Individual
JESSICA WEINSTEIN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH SCIENCES UNIVERSITY, PORTLAND, OR 97239
(503) 494-8490
(503) 494-5330
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE PP262, PORTLAND, OR 97239-3011
(503) 494-8490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00046446
WA
207RN0300X
Nephrology Physician
Primary
MD26875
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
06/22/2006
Last updated
05/12/2010
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