Doctor Name: | TANIA KNEUER-WEBER |
NPI Number: | 1013064633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 1039951 |
Business Practice Address: | 1340 Nw Wall Street Bend, OR - 977011574 |
Business Phone Number: | 5413227533 |
Business Fax Number: | 5413304636 |
Mailing Address: | 2577 Ne Courtney Dr, BEND |
State: | OR |
Postal Code: | 977017638 |
Phone Number: | 5413227500 |
Fax Number: | 5413227565 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1039951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |