Individual
MS. SEVRIN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6167
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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