Individual
JILL WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.,B.S.
Contact information
Practice address
5020 NW SPRINGHILL DR, 341 2ND AVE. S.E., ALBANY, OR 97321-9126
(541) 974-4790
Mailing address
5020 NW SPRINGHILL DR, ALBANY, OR 97321-9126
(541) 974-4790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12605
OR
Other
Enumeration date
01/21/2009
Last updated
01/12/2010
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