Individual
SHEALYNNA WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Mailing address
7320 SW HUNZIKER, SUITE 203, TIGARD, OR 97223
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0577
OR
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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