Individual
ERIN WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 NW SAMARITAN DR STE 200, CORVALLIS, OR 97330-3767
(541) 768-5422
Mailing address
3517 NW SAMARITAN DR STE 200, CORVALLIS, OR 97330-3767
(541) 768-5422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000973
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000973
STATE LICENSE
OR
Enumeration date
11/16/2011
Last updated
11/16/2011
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