John Weaver

NPI #1669727160 in Lebanon, Oregon

Provider Information

NPI Number
1669727160
Entity Type
Individual
Name
John Weaver
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jul 20, 2012
Last Updated
Jul 20, 2012

Practice Location

Address
100 MULLINS DR
Address 2
SUITE A-1
State
Oregon
ZIP Code
97355-3982
Phone
(541) 451-6920

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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