Individual
JILL WEAVER WELSHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
(503) 253-9848
Mailing address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201708062NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
95007079
CA
Other
Enumeration date
08/02/2017
Last updated
05/15/2024
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