ALISA WEAVER

Social Worker - Clinical

Active Individual
NPI: 1588953434

Practice Address

18911 PORTLAND AVE
Gladstone, OR 97027

Phone: (503) 722-6801

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Social Worker - Clinical 1041C0700X Yes L7529 (OR)

Frequently Asked Questions

NPI 1588953434 is the National Provider Identifier for ALISA WEAVER, a Social Worker - Clinical provider located in Gladstone, OR. This NPI was enumerated on March 31, 2011.
ALISA WEAVER practices at 18911 PORTLAND AVE, Gladstone, OR 97027.

Quick Facts

NPI
1588953434
Type
Individual
Enumerated
Mar 31, 2011
Last Updated
Oct 30, 2017

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