Individual
LEE ANN WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5500
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
168952
OR
363AM0700X
Medical Physician Assistant
844
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0045
—
AK
Enumeration date
12/02/2008
Last updated
03/07/2023
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