Individual
SANDRA ROSE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 352-3260
Mailing address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 352-3260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
07/18/2023
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