Provider Demographics
NPI:1447433289
Name:WEERTS, JANET MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:WEERTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:MARIE
Other - Last Name:WEERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8231 SW 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-4215
Mailing Address - Country:US
Mailing Address - Phone:503-922-9334
Mailing Address - Fax:503-961-1699
Practice Address - Street 1:8231 SW 14TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-4215
Practice Address - Country:US
Practice Address - Phone:503-922-9334
Practice Address - Fax:503-961-1699
Is Sole Proprietor?:No
Enumeration Date:2007-12-16
Last Update Date:2007-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse