Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Weis, MD

Individual provider Emergency Medicine Physician · NPI 1164657375

Crystal Weis, MD is an Emergency Medicine in Gresham, Oregon. Graduated from University of Wisconsin School of Medicine in 2009, 17 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
17
Trained at
University of Wisconsin School of Medicine
Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24800 SE Stark St
Gresham, OR 97030-3378
Phone: (503) 674-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 155139 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD60617983 (WA)

Record details

NPI number1164657375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESFebruary 4, 2022
Mailing address3311 Harvey St, Apt E, Madison, WI 53705-3456

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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