Individual
MRS. ELLEN H WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
132 W MAIN ST, MEDFORD, OR 97501-2746
(541) 326-8989
Mailing address
PO BOX 851, PHOENIX, OR 97535-0851
(541) 326-8989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181580
—
OR
01
—
317191
PBH
OR
01
—
858186000
BC BS - L.C.S.W.
OR
01
—
99945
JACKSON COUNTY MENTAL HEA
OR
01
—
J6586
PACIFIC SOURCE HEALTH PN
OR
Enumeration date
07/07/2005
Last updated
10/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us