Individual
STEVE WANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
(541) 884-1105
Mailing address
3647 HIGHWAY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
(541) 884-1105
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
05/23/2023
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