Individual
MISS WESLEY ANN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 RIVER RD N, KEIZER, OR 97303-4645
(503) 393-2651
Mailing address
1125 MADISON ST, SILVERTON, OR 97381-2407
(503) 339-5134
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5944
OR
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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