Jonathan Karl Weedman in Portland - Mental Health
Jonathan Karl Weedman - NPI 1376671750
Jonathan Karl Weedman is a Mental Health in Portland, Oregon. Jonathan Karl Weedman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jonathan Karl Weedman is 1376671750. The last update date is 2012-02-08.
Jonathan Karl Weedman's current location address is 1130 Sw Morrison St, Portland, Oregon. You can contact this provider via phone number 5039138603 and fax number 5032240395. The mailing address for Jonathan Karl Weedman is 1130 Sw Morrison St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Karl Weedman |
|---|---|
| Address | 1130 Sw Morrison St, Portland, Oregon |
| Phone Number | 5039138603 |
| Fax Number | 5032240395 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1376671750 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2012-02-08 |
Provider Mailing Address Detail
| Address | 1130 Sw Morrison St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972052234 |
| Phone Number | 5039138603 |
| Fax Number | 5032240395 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C1969 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101YP2500X | OR | LPC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jonathan Karl Weedman by the Centers for Medicare & Medicaid Services?
The Jonathan Karl Weedman has been issued the NPI (National Provider Identifier) 1376671750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jonathan Karl Weedman's facilities are situated?
The facilities of Jonathan Karl Weedman are physically located at the following address: 1130 Sw Morrison St, Portland, OR, 972052234.
What is the area of specialization for Jonathan Karl Weedman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan Karl Weedman is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376671750 to Jonathan Karl Weedman?
The Centers for Medicare & Medicaid Services originally issued the 1376671750 to Jonathan Karl Weedman on 2007-02-28.
As of what date were the details related to Jonathan Karl Weedman most recently updated or revised?
The information pertaining to Jonathan Karl Weedman, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-08.