Individual
JACKIE WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HFS
Contact information
Practice address
35 MULLINS DRVIE STE 3, LEBANON, OR 97355
(541) 451-6992
Mailing address
35 MULLINS DRVIE STE 3, LEBANON, OR 97355
(541) 451-6992
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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