Individual
LUA WEATHERDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 SE BASELINE ST, HILLSBORO, OR 97123-4103
(503) 640-4222
(503) 640-0334
Mailing address
447 SE BASELINE ST, HILLSBORO, OR 97123-4103
(503) 640-4222
(503) 640-0334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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