MR. KEVIN WEAVER (NPI# 1043585128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043585128 |
| Entity Type | Individual |
| Full Name | MR. KEVIN WEAVER |
| Practice Address |
3415 Se Powell Blvd Portland OR 97202-3371 |
| Mailing Address |
3415 Se Powell Blvd 97202 Portland OR 97202-3371 |
| Practice Telephone | 5032349591 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225492929 | Kevin Weaver Jr. | Pediatrics | #1 Children's Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2016-04-08 |
| 1457750051 | Kevin Weaver | Counselor | 846 W 35th St, Norfolk, VA 23508-3011 | 2014-08-19 |
| 1174657134 | Kevin Weaver | Psychologist | 1001 E Griswold Rd Unit 20, Phoenix, AZ 85020-3777 | 2007-03-14 |
| 1851475974 | Kevin C Weaver | Physical Therapist | 12 E 97th St # 1c, New York, NY 10029-6918 | 2006-10-25 |
| 1376073189 | Kevin Weaver | Counselor | 775 South Bonner Street, Ruston, LA 71270 | 2017-06-14 |
| 1154711596 | Kevin Weaver | Nurse Practitioner | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48640-6135 | 2015-01-23 |
| 1154353811 | Kevin Weaver | Emergency Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-07-06 |
| 1487693784 | Kevin L. Weaver | Specialist | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2006-06-05 |
| 1447244009 | Kevin M Weaver | Family Medicine | 555 Herndon Pkwy, Ste 100, Herndon, VA 20170-5276 | 2005-09-09 |
| Street Address |
3415 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484103 | Kelley S. Fellman | Psychiatry & Neurology | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2006-07-24 |
| 1639778715 | Nathanial Bridger Caldwell | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3396 | 2020-10-20 |
| 1104425537 | Jordan Stead | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-16 |
| 1790383560 | Patricia Sullivan | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1336747104 | Kevin Xiong | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1609474378 | Gabriella Francolla | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1447858121 | Caitlynn Smith | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1689281321 | Ava Menchu | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-27 |
| 1255948014 | Garrett Key | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-25 |
| 1578170676 | Tenzin Namdol | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053797167 | Iliana Henriquez | Social Worker | 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 | 2015-07-31 |
| 1992102024 | Wuaneesa Brown | Social Worker | 1538 Se 122nd Ave Apt 19, Portland, OR 97233-1265 | 2014-12-04 |
| 1578985149 | Ruth Murphy | Social Worker | 14513 Se Stark St # 2155, Portland, OR 97233-2155 | 2014-01-15 |
| 1497360085 | Jason Andrew Wargin | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2020-09-10 |
| 1467003970 | David Patrick Zahn | Social Worker | 2020 Se Powell Blvd, Portland, OR 97202-2345 | 2019-09-25 |
| 1326695891 | Hannah M Shifflett-kohler | Social Worker | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2019-08-20 |
| 1336654771 | Emily Zanke | Social Worker | 1715 Se 32nd Pl, Portland, OR 97214-5016 | 2017-12-07 |
| 1902319825 | Shelby E Jutras | Social Worker | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2017-11-14 |
| 1356851331 | Julianne Overby | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2017-10-04 |
| 1932649969 | Natalie Williamsen | Social Worker | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2017-02-23 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.