Nichole Jantette Wellman
Dental Assistant
1900 Mcloughlin Blvd Ste 68
Oregon City
, Oregon 97045-1072
Nichole Jantette Wellman
Dental Assistant
1900 Mcloughlin Blvd Ste 68
Oregon City
, Oregon 97045-1072
(503) 504-2546
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Nichole Jantette Wellman
- 188 Finneys Ave
- Molalla, OR
- Zip : 97038-9798
- Phone : (503) 504-2546
Second Address
- Nichole Jantette Wellman
- 1900 Mcloughlin Blvd Ste 68
- Oregon City, OR
- Zip : 97045-1072
- Phone : (503) 387-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 118674 | OR |
National Provider Identifier
| NPI | 1083248074 |
|---|---|
| Provider Name | Nichole Jantette Wellman |
| First Address | Molalla, OR 97038-9798 |
| Second Address | Oregon City, OR 97045-1072 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2020 |
| Last Update Date | 27/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.