MARK WESTON, MD, LLC (NPI# 1568707883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568707883 |
| Entity Type | Organization |
| Organization Name | MARK WESTON, MD, LLC |
| Practice Address |
4309 Oakridge Rd Lake Oswego OR 97035-3418 |
| Practice Telephone | 5036751137 |
| Practice Fax Number | 5035341137 |
| Mailing Telephone | 5036751137 |
| Mailing Fax Number | 5035341137 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | DR. MARK WESTON (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 5036751137 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD22218 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
4309 OAKRIDGE RD |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469551 | H Freeman Harris | Internal Medicine | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2006-04-27 |
| 1982112058 | Desiree Renee Bryant | Massage Therapist | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2018-01-11 |
| 1568805414 | Healthy Life Centre for Wellness | Clinic/Center | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2013-04-10 |
| 1558609875 | Healthy Life Centre for Wellness, LLC | Non-Pharmacy Dispensing Site | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2013-01-21 |
| 1184866204 | Trent M Shoemaker | Chiropractor | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2009-04-03 |
| 1801062179 | Oakridge Medical Clinic | Clinic/Center | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2008-05-06 |
| 1881869428 | Encompass Acupuncture Health | Acupuncturist | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2008-04-24 |
| 1245369636 | Ryan John Milley | Acupuncturist | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2007-03-03 |
| 1417030628 | Kris Pollack | Chiropractor | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2006-10-23 |
| 1821015637 | Kp Chiropractic Services PC | Chiropractor | 4309 Oakridge Rd, Lake Oswego, OR 97035-3418 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607215 | Spine Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1023516309 | Joint Replacement Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2018-01-31 |
| 1912349580 | Southern Oregon Spine Care, P.C. | Orthopaedic Surgery | 1311 Barnett Road Ste 201, Medford, OR 97504 | 2013-07-24 |
| 1063722262 | Centennial Medical Group North, LLC | Orthopaedic Surgery | 2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348 | 2010-10-21 |
| 1295779734 | Todd Jay Lewis | Orthopaedic Surgery | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3887 | 2006-06-15 |
| 1699763607 | Mark Delano Peterson | Orthopaedic Surgery | 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | 2005-10-12 |
| 1548722614 | Sor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1942702642 | Robert L Tatsumi Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062-9712 | 2018-03-08 |
| 1043605454 | Michael Wheeler | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2015-04-02 |
| 1700203338 | Renuka Reddy Kuruvalli | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Orthopaedic and Rehabilitaion Department, Portland, OR 97239-3011 | 2014-03-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.