Individual
LONNIE DALE WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 BAIR RD NE, KEIZER, OR 97303-3299
(503) 304-8073
Mailing address
1245 BAIR RD NE, KEIZER, OR 97303-3299
(503) 304-8073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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