Provider Demographics
NPI:1326098401
Name:WEEKS, MELANIE S (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:S
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 BLANKENSHIP RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4181
Mailing Address - Country:US
Mailing Address - Phone:503-655-3851
Mailing Address - Fax:503-655-3381
Practice Address - Street 1:1830 BLANKENSHIP RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4181
Practice Address - Country:US
Practice Address - Phone:503-655-3851
Practice Address - Fax:503-655-3381
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD13267207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR265769Medicaid
OR020403000OtherREGENCE BCBSD
OR020403000OtherREGENCE BCBSD
OR0000BHQKRMedicare ID - Type Unspecified