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John Weaver
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1669727160

John Weaver is a Student in an Organized Health Care Education/Training Program based in Corvallis, OR. John Weaver practices in Lebanon, OR. The NPI Number for John Weaver is 1669727160 and holds a License No. (Oregon).

The current practice location address for John Weaver is 100 Mullins Dr, Lebanon, OR and can be reached out via phone at 541-451-6920 and via fax at 541-451-6924. You can also correspond with John Weaver through the mailing address at 530 NW 27TH ST, CORVALLIS, OR - 97330-5223 (mailing address contact number: 541-766-6835).

Location: 100 Mullins Dr, Lebanon, OR, 97330-5223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669727160
Provider Name
John Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Mullins Dr, Lebanon, OR, 97330-5223
Phone Number
541-451-6920
Fax Number
541-451-6924
Provider Enumeration Date
07/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355-3982
Phone Number
541-451-6920
Fax Number
541-451-6924
person
Provider Business Mailing Address Details
Address
530 Nw 27Th St
City
Corvallis
State
Oregon
Zip
97330-5223
Phone Number
541-766-6835
Fax Number
541-766-6186
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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