Jake Weisberg, DO
NPI 1053060988 · Student in an Organized Health Care Education/Training Program · Portland, OR
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Weisberg, DO is a Student in an Organized Health Care Education/Training Program provider in Portland, OR (NPI 1053060988).
Provider details
- NPI number
- 1053060988
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO222057 (OR)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 19555 N 59th AveGlendale, AZ 85308-6813Phone: (623) 572-3200
- 101 W 8th AveSpokane, WA 99204-2307Phone: (509) 474-3020Fax: (509) 474-5316
Registry dates
- Enumerated
- 2022-03-19
- Last updated
- 2025-02-01
- Certified
- 2025-01-31
Frequently asked questions
- What is Jake Weisberg's NPI number?
- Jake Weisberg's National Provider Identifier (NPI) is 1053060988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Weisberg's specialty?
- Jake Weisberg is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jake Weisberg located?
- Jake Weisberg's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098.
- What is Jake Weisberg's phone number?
- The practice phone number listed in the NPPES registry for Jake Weisberg is (503) 701-4624.
- Does Jake Weisberg accept Medicare?
- Jake Weisberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Weisberg's NPI active?
- Yes — Jake Weisberg's NPI (1053060988) is active in the NPPES registry as of the last update on 2025-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.