Jonathan Karl Weedman LPC

NPI 1376671750 - Counselor - 101YM0800X

NPI Details
NPI 1376671750
Gender Male
Enumeration Date 02/28/2007
Last Updated 02/08/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1130 SW MORRISON ST
SUITE 410
PORTLAND OR, 97205-2234, US
Phone (503) 913-8603
Fax (503) 224-0395
Business Location
1130 SW MORRISON ST
SUITE 410
PORTLAND OR, 97205-2234, US
Phone (503) 913-8603
Fax (503) 224-0395
Toxanomy
Taxonomy Code 101YM0800X
License State Oregon
License Number C1969
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According to our database, Mr. Jonathan Karl Weedman LPC NPI is 1376671750, taxonomy code is 101YM0800X and license number is C1969, license state is located at Oregon. Jonathan Karl Weedman LPC physically located at 1130 Sw Morrison St, Portland OR, 97205-2234. NPI Number Jonathan Karl Weedman LPC has the Individual type.

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1376671750 NPI number is provided on an as is basis without warranty of any kind. 1376671750 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Karl Weedman LPC are for informational purposes only.