Wells, Kristin R
Wells, Kristin R is an individual health care provider with primary practice located at 2783 Ridgeway Dr Se , Turner OR 97392-9370. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wells, Kristin R can be contacted via phone (541) 913-4740.Contact Information
Primary practice address
2783 Ridgeway Dr Se
Turner OR 97392-9370
Phone: (541) 913-4740
Fax: (503) 362-8630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 12695 | Oregon |
Profile Details
| NPI number | 1598895880 |
|---|---|
| LBN Legal business name | Wells, Kristin R |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | May 30th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598895880 | NPPES |
| Oregon | Other | A008 | TRICARE NW |
| Oregon | Other | 026648000 | TRICARE NW |
| Oregon | MEDICAID | 247332 | TRICARE NW |
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