Individual
HEATHER ANN BALLOU WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1331 NW EASTMAN PKWY, GRESHAM, OR 97030-3896
(503) 264-4653
(503) 261-4669
Mailing address
39995 MITCHELL CT, SANDY, OR 97055-9318
(503) 914-7761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011965
OR
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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