Individual
SARA MARIE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17332 SE POWELL BLVD, PORTLAND, OR 97236-1648
(503) 415-4110
(503) 415-4159
Mailing address
PO BOX 4365, PORTLAND, OR 97208-4365
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201605442NP-PP
OR
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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