person
Leann Jean Willis Welch, NP
Family Nurse Practitioner in Coos Bay, Oregon
NPI 1679523971

Leann Jean Willis Welch is a Family Nurse Practitioner based in Coos Bay, OR and is specialized in Family. Leann Jean Willis Welch practices in Coos Bay, OR and has the professional credentials of NP. The NPI Number for Leann Jean Willis Welch is 1679523971 and holds a License No. 200640863RN (Oregon).

The current practice location address for Leann Jean Willis Welch is 630 Miluk Dr, Coos Bay, OR and can be reached out via phone at 541-888-9414 and via fax at 541-888-5556. You can also correspond with Leann Jean Willis Welch through the mailing address at PO BOX 3190, COOS BAY, OR - 97420-0407 (mailing address contact number: 541-888-9414).

Location: 630 Miluk Dr, Coos Bay, OR, 97420-0407
person
Provider Profile Details
NPI Number
1679523971
Provider Name
Leann Jean Willis Welch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
630 Miluk Dr, Coos Bay, OR, 97420-0407
Phone Number
541-888-9414
Fax Number
541-888-5556
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107658 01 OR MEDICARE ID# PTAN
240703 05 OR
MW1412927 01 OR CSR
165031 05 OR
institution
Provider Business Practice Location Address Details
Address
630 Miluk Dr
City
State
Zip
97420-7728
Phone Number
541-888-9414
Fax Number
541-888-5556
person
Provider Business Mailing Address Details
Address
630 Miluk Dr
City
State
Zip
97420-7728
Phone Number
541-888-9414
Fax Number
541-888-5556
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200640863RN (Oregon)
Definition
Definition to come...
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