Individual
SAMANTHA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 NW IRVING AVE, BEND, OR 97703-2011
(541) 633-4591
Mailing address
37 NW IRVING AVE, BEND, OR 97703-2011
(541) 633-4591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-538
OR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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