NPI 1003267808
Derek Weaver
Practice location
- Address
- 1128 NW Harriman St, Bend, OR 97703-1947
- Phone
- (541) 330-4638
- Fax
- (541) 330-4630
- Mailing address
- 2577 NE Courtney Dr, Bend, OR 97701-7638
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1003267808
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jun 2016
- Record last updated
- 23 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.