Individual
ROXANN LEE WEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2155 NW EVERGREEN ST, CORVALLIS, OR 97330-1109
(541) 760-2467
Mailing address
2155 NW EVERGREEN ST, CORVALLIS, OR 97330-1109
(541) 760-2467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12953
OR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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