MEDICARE: ERIN LYNN MARTIN-WEEKS D.O., MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO27597	OR

General Provider Information

NPI Number	:	1215136262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LYNN MARTIN-WEEKS D.O., MPH

Provider Business Mailing Address
First Line	:	425 E 7TH ST
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-2607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 E 7TH ST
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-2607
Country	:	US
Telephone Number	:	541-296-4610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	07/11/2007

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