Individual
MERIBETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11630 SE 40TH AVE, MILWAUKIE, OR 97222-6195
(503) 609-0761
Mailing address
11630 SE 40TH AVE, MILWAUKIE, OR 97222-6195
(503) 609-0761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A5207
OR
1041C0700X
Clinical Social Worker
Primary
L10825
OR
1041C0700X
Clinical Social Worker
M5207
OR
Other
Enumeration date
08/25/2014
Last updated
05/08/2023
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