Organization Active NPI

Mark Weston, MD, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Lake Oswego, OR
National Provider Identifier
1568707883
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD22218 Issued in OR
Legal business name
MARK WESTON, MD, LLC
Practice address
4309 Oakridge Rd
Lake Oswego, OR 97035-3418
Phone
(503) 675-1137
Fax
(503) 534-1137
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Weston, MD
Title
President/Physician
Phone
(503) 675-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X MD22218 OR Primary

Addresses

Primary practice location

4309 Oakridge Rd
Lake Oswego, OR 97035-3418

Mailing address

4309 Oakridge Rd
Lake Oswego, OR 97035-3418
Phone (503) 675-1137

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1568707883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 OAKRIDGE RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353418",
            "telephone_number": "503-675-1137",
            "fax_number": "503-534-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 OAKRIDGE RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353418",
            "telephone_number": "503-675-1137",
            "fax_number": "503-534-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WESTON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "503-675-1137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OR",
            "license": "MD22218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.