STEPHANIE JEAN WEAVER (NPI# 1306180245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306180245 |
| Entity Type | Individual |
| Full Name | STEPHANIE JEAN WEAVER |
| Practice Address |
801 Nw Wallula Ave Gresham OR 97030-5455 |
| Mailing Address |
125 Se 31st Ave Portland OR 97214-1922 |
| Practice Telephone | 5037263740 |
| Mailing Telephone | 5038399711 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679007355 | Stephanie Weaver I | Counselor | 27 Old Airport Rd, St. Michael, AK 99659-0659 | 2017-04-19 |
| 1932527025 | Stephanie Weaver | Lactation Consultant, Non-RN | 543 Henrietta St, Philipsburg, PA 16866-2617 | 2014-04-04 |
| 1851660450 | Stephanie Lynn Weaver | Licensed Practical Nurse | 434 Millbrook Rd, Hudson, NY 12534-4516 | 2011-12-28 |
| 1366678005 | Stephanie R Weaver | Licensed Practical Nurse | 2821 Court Ave, Erie, PA 16506-3425 | 2009-06-09 |
| 1205060811 | Stephanie L Weaver | Massage Therapist | 616 Hilltop Dr, New Cumberland, PA 17070-1720 | 2009-05-11 |
| 1538513080 | Stephanie Meiners Weaver | Physician Assistant | 2630 East Seventh Street, Suite 200, Charlotte, NC 28204 | 2016-04-21 |
| 1558633453 | Stephanie Weaver | Counselor | 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 | 2012-02-08 |
| 1295063121 | Stephanie Mei Li Weaver | Pharmacist | 5819 Burnet Rd, Austin, TX 78756-1114 | 2009-12-04 |
| 1750592713 | Stephanie Weaver | Dentist | 715 W College St, Lake Charles, LA 70605-1523 | 2007-05-24 |
| 1366532186 | Stephanie A Weaver | Nurse Practitioner | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2006-10-13 |
| Street Address |
801 NW WALLULA AVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194018135 | Caroline Rose | Social Worker | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2011-05-24 |
| 1225683378 | Melissa A Spaete | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2019-08-06 |
| 1568910891 | Jeanni Lee Crane | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2016-09-15 |
| 1518412196 | Mia Peeler | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2016-08-24 |
| 1407208838 | Rebecca Leibham | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2016-07-11 |
| 1952752842 | Rebecca Mace | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2016-06-22 |
| 1891181301 | Sara Garrison | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2015-04-10 |
| 1710386552 | Colin Mccartney | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2014-08-18 |
| 1891137816 | Bethy Mae Annsa | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2013-07-18 |
| 1053758417 | Erin Petty | Counselor | 801 Nw Wallula Ave, Gresham, OR 97030-5455 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236628 | Ramon Benton | Counselor | 2951 Nw Division St Ste 120, Gresham, OR 97030-5293 | 2018-02-21 |
| 1316450265 | Philisia Roquez | Counselor | 621 Ne Kane Dr Apt 102, Gresham, OR 97030-5968 | 2017-11-14 |
| 1184142283 | Jami L Stephens | Counselor | 406 Ne 4th St Ste 110, Gresham, OR 97030-7496 | 2017-09-08 |
| 1770940645 | Kristen Brooke Beck | Counselor | 406 Ne 4th St Ste 126, Gresham, OR 97030-7496 | 2016-01-24 |
| 1932565363 | Cheyenne Marie Jones | Counselor | 254 Nw Burnside Rd Ste 230, Gresham, OR 97030-3836 | 2016-01-14 |
| 1679939920 | Alycia Smith | Counselor | 320 N Main Ave Ste 201d, Gresham, OR 97030-7242 | 2015-12-31 |
| 1538530159 | Jamie Saechao | Counselor | 429 Se 218th Ave, Gresham, OR 97030-8502 | 2015-10-08 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1346649860 | Jade Elisabeth Elaine Thayer | Counselor | 847 Se Francis Ave, Gresham, OR 97080-1343 | 2014-08-20 |
| 1639429137 | Janet Elaine Young | Counselor | 32300 Se Bluff Rd, Gresham, OR 97080-8822 | 2012-09-12 |
| Find all providers in GRESHAM | ||||
Please comment or provide details below to improve the information on STEPHANIE JEAN WEAVER.
| 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.