Individual
DENNIS WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E CENTRAL AVE SPC 23, SUTHERLIN, OR 97479-9624
(541) 391-2145
Mailing address
1200 E CENTRAL AVE SPC 23, SUTHERLIN, OR 97479-9624
(541) 391-2145
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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