Bird Weaver, Tabatha L
Bird Weaver, Tabatha L is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bird Weaver, Tabatha L can be contacted via phone (503) 397-5211.Contact Information
Primary practice address
58646 Mcnulty Way
Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2126 | Oregon |
Profile Details
| NPI number | 1053502310 |
|---|---|
| LBN Legal business name | Bird Weaver, Tabatha L |
| Credentials | LPC,MA, MFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Feb 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053502310 | NPPES |
| Oregon | MEDICAID | 123190 |
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