Individual
SHERI WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Mailing address
1605 E. LINCOLN RD, WOODBURN, OR 97071
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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