NPI 1083627459

Da Vid Samuel Weil, MD

Practitioner Health Maintenance Organization Portland, OR

Practice location

Address: 9205 SW Barnes Rd, Portland, OR 97225-6603
Phone: (503) 216-1234
Mailing address: 3082 SW Fairmount Blvd, Portland, OR 97239-1439

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence OR MD10649 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1083627459
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.