Derek Weaver

NPI #1003267808 in Bend, Oregon

Provider Information

NPI Number: 1003267808
Entity Type: Individual
Name: Derek Weaver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 23, 2016
Last Updated: Jun 23, 2016

Practice Location

Address: 1128 NW HARRIMAN ST
City: Bend
State: Oregon
ZIP Code: 97703-1947
Phone: (541) 330-4638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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