Individual
ELLIOTT WEDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3815 S 6TH ST STE 108, KLAMATH FALLS, OR 97603-4758
(675) 054-1205
Mailing address
1453 MCCLELLAN DR, KLAMATH FALLS, OR 97603-4143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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