Shelly Leigh Wetzell
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
Shelly Leigh Wetzell
Dental Assistant
10209 Se Sunnyside Rd
Clackamas
, Oregon 97015-9782
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Shelly Leigh Wetzell
- 7820 Se Aspen Summit Dr #64
- Portland, OR
- Zip : 97266-6155
- Phone :
Second Address
- Shelly Leigh Wetzell
- 10209 Se Sunnyside Rd
- Clackamas, OR
- Zip : 97015-9782
- Phone : (503) 353-3900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 5965855 | OR |
National Provider Identifier
| NPI | 1063549129 |
|---|---|
| Provider Name | Shelly Leigh Wetzell |
| First Address | Portland, OR 97266-6155 |
| Second Address | Clackamas, OR 97015-9782 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 08/07/2007 |
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.