Organization
WELL SPRING HEALTH LLC
Active
Organization
WELL SPRING HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY HANLEY NP (PRESIDENT)
(888) 719-3491
Entity
Organization
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(888) 719-3491
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(888) 719-3491
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
05/02/2023
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