Individual
KATHI D WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4099 UPPER CAMAS RD, CAMAS VALLEY, OR 97416-9764
(541) 445-2447
Mailing address
4099 UPPER CAMAS RD, CAMAS VALLEY, OR 97416-9764
(541) 445-2447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201242230
OR
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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