MEDICARE: DR. STEWART ALAN WEBER M.D.

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	2085R0204X	Vascular & Interventional Radiology Physician	MD182406	OR
2	2084V0102X	Vascular Neurology Physician	C206975	CA
3	2084N0400X	Neurology Physician	MD182406	OR
4	2084V0102X	Vascular Neurology Physician	MD182406	OR
5	207T00000X	Neurological Surgery Physician	C206975	CA

General Provider Information

NPI Number	:	1609118009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEWART ALAN WEBER M.D.

Provider Business Mailing Address
First Line	:	1800 NE 2ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-3932
Country	:	US
Telephone Number	:	503-595-3967
Fax Number	:	503-595-3937

Provider Business Practice Location Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-456-8888
Fax Number	:

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

Provider Enumeration Date	:	03/23/2013
Last Update Date	:	03/11/2026

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