Individual
ALICE S WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266-2954
(503) 215-9850
Mailing address
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266-2954
(503) 215-9850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD163182
OR
Other
Enumeration date
06/08/2011
Last updated
05/13/2017
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