Individual
PATRICIA A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12044 SE DEERFIELD DR, HAPPY VALLEY, OR 97086-6467
(503) 698-7618
Mailing address
12044 SE DEERFIELD DR, HAPPY VALLEY, OR 97086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000007476RN
OR
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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