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NPI Code Detail

MEDICARE: KAREN WEISMAN

MEDICARE: KAREN WEISMAN
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
1207RA0401XAddiction Medicine (Internal Medicine) PhysicianMD19502OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467582031
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAREN WEISMAN
Provider Business Mailing Address
First Line : 2310 NW KINGS BLVD
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-3925
Country : US
Telephone Number : 541-754-1530
Fax Number : 541-754-1534
Provider Business Practice Location Address
First Line : 2310 NW KINGS BLVD
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-3925
Country : US
Telephone Number : 541-754-1530
Fax Number : 541-754-1534
Authorized Official
Title or Position : PHYSICIAN
Name : DR. KAREN LEE WEISMAN
Credential : M.D.
Telephone Number : 541-754-1530
Provider Enumeration Date : 03/06/2007
Last Update Date : 05/26/2026

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1376500710 — KEVIN K MATSUBA MD
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1619934064 — KAREN L MACEWAN MD
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1841258647 — JOHN J MOLITOR JR. MD
Practice Location Address:
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Directions to “KAREN WEISMAN ” Practice Location

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