STEPHANIE JEAN WEAVER NPI 1306180245

NPI Information

NPI: 1306180245
Provider Name: STEPHANIE JEAN WEAVER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
801 NW WALLULA AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 726-3740
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Stephanie Jean Weaver is a mental health counselor in Gresham, OR. Stephanie Jean Weaver NPI is 1306180245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 NW WALLULA AVE
GRESHAM, OR
ZIP 97030-455
Phone: (503) 726-3740

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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