TRAVIS WEAVER

PRINEVILLE, OR
NPI1861864555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
-- TRAVIS WEAVER
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-233-6036
Mailing Address
-- TRAVIS WEAVER
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-233-6036
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