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Contact Information

OR WEIGHTLOSS
4655 SW GRIFFITH DR
BEAVERTON, OR97005-8728
 Phone: 917-488-6875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for OR WEIGHTLOSS · (Female)

NPI # 1962293472
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2025
Last updated 05/14/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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