Individual
ANDREA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
511 SW 10TH AVE STE 1014, PORTLAND, OR 97205-2711
(503) 994-8811
Mailing address
4110 SE HAWTHORNE BLVD # 229, PORTLAND, OR 97214-5246
(503) 236-5587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201501607RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10015445
OR
Other
Enumeration date
08/17/2023
Last updated
08/13/2025
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