Individual
STEVEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 WASHINGTON ST, ASHLAND, OR 97520-1682
(541) 203-0737
Mailing address
534 WASHINGTON ST, ASHLAND, OR 97520-1682
(541) 203-0737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20003
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
94-3096772
TAX ID
—
Enumeration date
06/14/2006
Last updated
09/15/2021
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