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Organization
EVAN WEBER PMHNP LLC
Active
Organization
EVAN WEBER PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN WEBER PMHNP (OWNER/PROVIDER)
(917) 583-5218
Entity
Organization
Contact information
Practice address
13228 SE BROOKLYN CT, PORTLAND, OR 97236-3035
(917) 583-5128
Mailing address
13228 SE BROOKLYN CT, PORTLAND, OR 97236-3035
(917) 583-5128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/03/2024
Last updated
05/15/2024
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