Individual
DR. E. ROBERT WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10101 SE MAIN ST, SUITE 3008, PORTLAND, OR 97216-2455
(503) 253-1223
(503) 253-1530
Mailing address
10101 SE MAIN ST, SUITE 3008, PORTLAND, OR 97216-2455
(503) 253-1223
(503) 253-1530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08649
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213397
—
OR
Enumeration date
08/09/2006
Last updated
07/08/2007
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