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1548280498
ANNE KC WEAVER
PORTLAND, OR
NPI
1548280498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 12125)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
-- ANNE KC WEAVER MS, CCC
4029 NE TILLAMOOK ST
PORTLAND, OR 97212-5341
Phone number: 503-249-0455
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Mailing Address
-- ANNE KC WEAVER MS, CCC
1595 SHADOW WOOD DR
WEST LINN, OR 97068-9711
Phone number: 503-638-9380
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