Individual
IDAMARIE WEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
30 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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