Individual
DR. JASON TYLER WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., L.AC.
Contact information
Practice address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
Mailing address
936 SE ANKENY ST, PORTLAND, OR 97214-1300
(503) 232-3215
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC169599
OR
175F00000X
Naturopath
Primary
2049
OR
Other
Enumeration date
10/06/2014
Last updated
06/03/2024
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