Individual
KELSEY WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1555 SW REINDEER AVE, REDMOND, OR 97756-9449
(541) 548-4088
Mailing address
6909 NE JUNIPER RIDGE RD, REDMOND, OR 97756-9767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10014248
OR
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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