EVAN JONATHON WEBER

PORTLAND, OR
NPI1760236566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10024561)
Enumeration Date2024-04-16
Last Update Date2024-05-13
Business Address
EVAN JONATHON WEBER PMHNP
13228 SE BROOKLYN CT
PORTLAND, OR 97236-3035
Phone number: 917-583-5128
Mailing Address
EVAN JONATHON WEBER PMHNP
13228 SE BROOKLYN CT
PORTLAND, OR 97236-3035
Phone number: 917-583-5128
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