Organization
TSL WELL LLC
Active
Other names
TSL Well LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FANCHO FEE STUBBLEFIELD JR. (OWNER)
(503) 435-2323
Entity
Organization
Contact information
Practice address
3900 KRUSE WAY PL, LAKE OSWEGO, OR 97035-2512
(503) 635-7000
Mailing address
3330 SE THREE MILE LN, MCMINNVILLE, OR 97128-6232
(503) 435-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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