Weaver, Paul Gerald

Weaver, Paul Gerald is an individual health care provider with primary practice located at 1275 Wallace Rd Nw , Salem OR 97304-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weaver, Paul Gerald can be contacted via phone (503) 371-3232.

Contact Information

Primary practice address
1275 Wallace Rd Nw Salem OR 97304-3007
Fax: (503) 375-2398
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D016350 Oregon

Profile Details

NPI number 1053311191
LBN Legal business name Weaver, Paul Gerald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 28th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053311191 NPPES
Oregon MEDICAID 288192

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