Individual
MS. COLENA DENISE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10714 NE GLISAN ST, PORTLAND, OR 97220-4046
(503) 256-2453
(503) 254-4271
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 253-1217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740327212
—
OR
Enumeration date
01/31/2007
Last updated
06/04/2019
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