Individual
AUSTEN WUELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8364 SW PFAFFLE ST, APT.109, TIGARD, OR 97223-8480
(503) 550-9578
Mailing address
8364 SW PFAFFLE ST, APT.109, TIGARD, OR 97223-8480
(503) 550-9578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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