Nichole Jantette Wellman

NPI #1083248074 in Oregon City, Oregon

Provider Information

NPI Number: 1083248074
Entity Type: Individual
Name: Nichole Jantette Wellman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Feb 27, 2020
Last Updated: Feb 27, 2020

Practice Location

Address: 1900 MCLOUGHLIN BLVD STE 68
City: Oregon City
State: Oregon
ZIP Code: 97045-1072
Phone: (503) 387-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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