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Paul Weaver

NPI 1619682028 · on the registry since 2023 · sole proprietor

Practice

Address
4933 Ne 26th Ave
Portland, OR 97211
Phone
(214) 906-0394

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon