Jenessa M Well, PA-C

NPI #1912665605 in Sherwood, Oregon

Provider Information

NPI Number: 1912665605
Entity Type: Individual
Name: Jenessa M Well, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 30, 2021
Last Updated: Oct 1, 2024

Practice Location

Address: 16770 SW EDY RD STE 102
City: Sherwood
State: Oregon
ZIP Code: 97140-9679
Phone: (503) 216-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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