Individual
KEITH RYAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1256
(360) 597-1472
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1256
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD182400
OR
Other
Enumeration date
04/08/2011
Last updated
03/17/2018
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