Individual
DEBORAH WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6828 SE HOLGATE BLVD, PORTLAND, OR 97206-3504
(503) 795-3987
(503) 990-8399
Mailing address
18747 SE YAMHILL ST, PORTLAND, OR 97233-5550
(503) 795-3987
(503) 908-3998
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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