JACK RANDELL WELLS

PORTLAND, OR
NPI1316246937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  3238)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: CO  PSY.0005193)
Enumeration Date2011-03-22
Last Update Date2025-05-13
Business Address
JACK RANDELL WELLS PSYD
9135 SW BARNES RD STE 561
PORTLAND, OR 97225-6643
Phone number: 503-216-2339
Mailing Address
JACK RANDELL WELLS PSYD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494