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Individual

NICHOLAS WHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
950 NE ELM ST, PRINEVILLE, OR 97754-1619
(541) 447-7667
Mailing address
950 NE ELM ST, PRINEVILLE, OR 97754-1619

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61402
OR

Other

Enumeration date
10/05/2015
Last updated
10/05/2015
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