Individual
MS. GWEN WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
604 CHARMAN ST, OREGON CITY, OR 97045-3018
(503) 877-8218
(503) 389-7945
Mailing address
604 CHARMAN ST, OREGON CITY, OR 97045-3018
(503) 877-8218
(503) 389-7945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4178
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50069742
—
OR
01
—
P07539
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/19/2007
Last updated
02/12/2019
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