Organization
OR WEIGHTLOSS
Active
Organization
OR WEIGHTLOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ANGELA WARD MD (PHYSICIAN)
(904) 535-4815
Entity
Organization
Contact information
Practice address
4655 SW GRIFFITH DR, BEAVERTON, OR 97005-8728
(917) 488-6875
Mailing address
4655 SW GRIFFITH DR, BEAVERTON, OR 97005-8728
(917) 488-6875
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
207P00000X
Emergency Medicine Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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