| Evan Weber Pmhnp Llc | |
|
13228 Se Brooklyn Ct Portland OR 97236-3035 | |
| (917) 583-5128 | |
| Not Available |
| Full Name | Evan Weber Pmhnp Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13228 Se Brooklyn Ct, Portland, Oregon |
| Authorized Official Name and Position | Evan Weber (OWNER/PROVIDER) |
| Authorized Official Contact | 9175835218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Weber Pmhnp Llc 13228 Se Brooklyn Ct Portland OR 97236-3035 Ph: (917) 583-5128 | Evan Weber Pmhnp Llc 13228 Se Brooklyn Ct Portland OR 97236-3035 Ph: (917) 583-5128 |
| NPI Number | 1770330003 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770330003 | NPI | - | NPPES |
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