Individual provider · Type 1 NPI

Nicole Weis, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1760090666 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-6813 Map

Fax (503) 494-1310

Other practice locations

  • 2850 SE Powell Valley Rd Ste 100, Gresham, OR 97080-1495 · (503) 666-5050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA201241 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1760090666

Nicole Weis, PA-C's National Provider Identifier is 1760090666, issued on Jul 16, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Sep 13, 2023.