DEREK WEAVER NPI 1003267808

NPI Information

Derek Weaver is a peer specialist in Bend, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Derek Weaver NPI is 1003267808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1128 NW HARRIMAN ST
BEND, OR
ZIP 97703-947
Phone: (541) 330-4638
Fax: (541) 330-4630

The enumeration date for this NPI number is 6/23/2016 and was last updated on 6/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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