Individual
SHEILA L. WETTLAUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFNP
Contact information
Practice address
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302-4371
(503) 585-6455
(503) 391-0471
Mailing address
4285 COMMERCIAL ST SE, SUITE 120, SALEM, OR 97302-4371
(503) 585-6455
(503) 391-0471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP135211
OR
Other
Enumeration date
06/08/2006
Last updated
02/08/2012
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