Idamarie Weimer
Peer Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1841925583
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1841925583
- Entity type
- Individual (NPI-1)
- Name
- Idamarie Weimer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2022
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OR | Yes |
Practice location
30 Ne Martin Luther King BlvdPortland, OR 97232-2941
Phone 503-232-1099
Mailing address
30 Ne Martin Luther King BlvdPortland, OR 97232-2941
Phone 503-232-1099
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