Derek Weaver

Peer Specialist · Bend, OR

Individual Active NPI

NPI number 1003267808

Practice location

1128 NW Harriman St
Bend, OR 97703-1947
Phone
(541) 330-4638
Fax
(541) 330-4630

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NPI record

NPI
1003267808
Entity type
Individual (Type 1)
Enumeration date
June 23, 2016
Last updated
June 23, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone
(541) 322-7500
Fax
(541) 322-7565

About Derek Weaver

Derek Weaver is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1128 NW Harriman St, Bend, OR 97703-1947. The NPI number 1003267808 was assigned on June 23, 2016 and the record was last updated on June 23, 2016.

Frequently asked questions

What is the NPI number of Derek Weaver?

The NPI number is 1003267808.

What is the phone number of Derek Weaver?

The phone number listed for the practice location is (541) 330-4638.

Where is Derek Weaver located?

1128 NW Harriman St, Bend, OR 97703-1947.

What is the taxonomy code for Derek Weaver?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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