Individual
MR. RYAN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P5-SWS, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
PO BOX 1034, P2-SWS, PORTLAND, OR 97207-1034
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3430
OR
Other
Enumeration date
08/21/2006
Last updated
07/10/2007
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