Individual provider · Type 1 NPI

John Weaver

Student in an Organized Health Care Education/Training Program · Lebanon, OR

NPI number 1669727160 Active

Practice location

100 Mullins Dr, Suite A-1
Lebanon, OR 97355-3982

Call (541) 451-6920 Map

Fax (541) 451-6924

Mailing address

530 NW 27th St
Corvallis, OR 97330-5223

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669727160

John Weaver's National Provider Identifier is 1669727160, issued on Jul 20, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, OR. The record was last updated on Jul 20, 2012.