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1083627459
DA VID SAMUEL WEIL
PORTLAND, OR
NPI
1083627459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: OR OR MD10649)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
DA VID SAMUEL WEIL M.D.
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-1234
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Mailing Address
DA VID SAMUEL WEIL M.D.
3082 SW FAIRMOUNT BLVD
PORTLAND, OR 97239-1439
Phone number: 503-293-6806
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