IAN WELLES KEUSINK

NEWBERG, OR
NPI1841044534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-17
Last Update Date2024-08-10
Business Address
IAN WELLES KEUSINK
1308 E 1ST ST STE 3
NEWBERG, OR 97132-2942
Phone number: 503-554-5007
Mailing Address
IAN WELLES KEUSINK
436 S WYNOOSKI ST
NEWBERG, OR 97132-3208
Phone number: 541-870-4203