Individual
KRISTIN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 W STEWART AVE, MEDFORD, OR 97501-3974
(541) 494-7838
Mailing address
3912 ARIZONA DR, MEDFORD, OR 97504-9515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18091
OR
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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