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1225127178
SCOTT ALAN WEAVER
PORTLAND, OR
NPI
1225127178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: OR MD17964)
Enumeration Date
2006-10-11
Last Update Date
2007-07-13
Business Address
SCOTT ALAN WEAVER MD
3500 N INTERSTATE AVE INTERSTATE MEDICAL OFFICE SOUTH
PORTLAND, OR 97227-1196
Phone number: 503-333-1615
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Mailing Address
SCOTT ALAN WEAVER MD
3500 N INTERSTATE AVE INTERSTATE MEDICAL OFFICE SOUTH
PORTLAND, OR 97227-1196
Phone number: 503-333-1615
Copy
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