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1053772210
BRENT WELLS
CORVALLIS, OR
NPI
1053772210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201505044RN)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
-- BRENT WELLS RN
4455 NE HWY 20
CORVALLIS, OR 97330
Phone number: 541-758-5900
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Mailing Address
-- BRENT WELLS RN
3415 SE POWELL BLVD
PORTLAND, OR 97202
Phone number: 503-234-9591
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