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1912046202
WELLSPRING
PORTLAND, OR
NPI
1912046202
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Entity Type
Organization
Authorized Contact
DEBRA HUMPHREY-KEEVER
CFO
503-963-7786
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2007-02-05
Last Update Date
2020-08-22
Business Address
WELLSPRING
2034 SE 6TH AVE
PORTLAND, OR 97214-4510
Phone number: 503-238-6801
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Mailing Address
WELLSPRING
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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