WELLINGTON PROVIDER GROUP, PC

PORTLAND, OR
NPI1619689957
Entity TypeOrganization
Authorized ContactMARIELA BRAVO
Credentialing Team Lead
831-313-6799
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
WELLINGTON PROVIDER GROUP, PC
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223-5500
Phone number: 859-439-0400
Mailing Address
WELLINGTON PROVIDER GROUP, PC
535 WELLINGTON WAY STE 330
LEXINGTON, KY 40503-1331
Phone number:
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