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Individual

DAVID S WEINGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD, SUITE 238, PORTLAND, OR 97225-6625
(503) 223-7214
(503) 227-7572
Mailing address
9155 SW BARNES RD, SUITE 230, PORTLAND, OR 97225-6625
(503) 445-3235
(503) 790-2293

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19193
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003335021
REGENCE BLUE CROSS OF OR
OR
05
067350
OR
01
P00634935
RAILROAD MEDICARE/PALMETTO
OR
Enumeration date
11/18/2005
Last updated
07/14/2009
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