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DEREK WEAVER
NPI 1003267808
Peer Specialist in Bend, OR

Active since June 23, 2016
1128 NW HARRIMAN ST, BEND, OR 97703(541) 330-4638(541) 330-4630 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK WEAVER (NPI 1003267808) is an individual peer specialist in Bend, Oregon and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1003267808
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDEREK WEAVER
Location Address1128 NW HARRIMAN STBend, OR 97703-1947
Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 330-4638
Fax(541) 330-4630
Sole ProprietorNo
Enumeration DateJune 23, 2016
✔ NPI 1003267808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1128 NW HARRIMAN ST, Bend, OR 97703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANI WALKER-NOVI LMSW
Social Worker (Clinical)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7662
LINDSEY LEE HURTADO
Nurse Practitioner (Psychiatric/Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
LAUREL ANISE NAYLOR
Social Worker (Clinical)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
EUNICE ALLISON-QUICK
Registered Nurse (Psychiatric/Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
BRIAN FULMER
Psychiatry & Neurology (Psychiatry)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
TYLER SHANLEY
Counselor (Mental Health)
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
MR. TANNER HARRY CALVIN HOLTON IV
Peer Specialist
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500
SCOTT EDWARD JONES
Case Manager/Care Coordinator
1128 NW HARRIMAN ST
BEND, OR 97703
Deschutes County (541) 322-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Weaver's NPI number?

The NPI number for Derek Weaver is 1003267808. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Derek Weaver located?

Derek Weaver practices at 1128 NW Harriman St, Bend, OR 97703. The listed phone number is (541) 330-4638.

What is Derek Weaver's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Derek Weaver was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.