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-- STACEE WELLS -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1760863831
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
19945 SW BOONES FERRY RD, TUALATIN, OR, 970627272
Phone
(503) 612-5400

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #09192

All Addresses

MAILING

2420 NE LYNDA LN

BEND, OR, 977015872

LOCATION

19945 SW BOONES FERRY RD

TUALATIN, OR, 970627272

(503) 612-5400