Provider Demographics
NPI:1902358872
Name:WEAVER, FRANKLIN DELANO JR
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:DELANO
Last Name:WEAVER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RON
Other - Middle Name:DELANO
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3800 SW CEDAR HILLS BLVD STE 288
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2035
Mailing Address - Country:US
Mailing Address - Phone:503-924-2448
Mailing Address - Fax:
Practice Address - Street 1:3800 SW CEDAR HILLS BLVD STE 288
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2035
Practice Address - Country:US
Practice Address - Phone:503-924-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist