Individual
JOHN HENRY WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNPC
Contact information
Practice address
1095 LIBERTY ST NE, STE A, SALEM, OR 97301-1137
(503) 581-6550
(503) 581-4755
Mailing address
1095 LIBERTY ST NE, SALEM, OR 97301-1137
(503) 581-6550
(503) 581-4755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200150116NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210854
—
OR
Enumeration date
06/16/2006
Last updated
07/25/2013
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