Individual
JEFFREY C WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W 8TH ST, PORT ANGELES, WA 98362
(360) 457-8578
(360) 457-4841
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 417-7111
(360) 417-7342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00037703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8256521
—
WA
Enumeration date
05/13/2006
Last updated
07/27/2018
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