| Doctor Name: | MRS. LISA MICHELLE WESTON |
| NPI Number: | 1043596398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., BSN |
| License Number: | 201142274RN |
| Business Practice Address: | 715 Sw Ramsey Ave Grants Pass, OR - 975275500 |
| Business Phone Number: | 5419564943 |
| Business Fax Number: | |
| Mailing Address: | 2245 Cullison Ln, GRANTS PASS |
| State: | OR |
| Postal Code: | 975275737 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | 201142274RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |