Healthcare Provider Details

I. General information

NPI: 1376200402
Provider Name (Legal Business Name): APRIL ESTELLA WELCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 NW 4TH ST
CORVALLIS OR
97330-6491
US

IV. Provider business mailing address

PO BOX 1526
CORVALLIS OR
97339-1526
US

V. Phone/Fax

Practice location:
  • Phone: 541-738-6832
  • Fax:
Mailing address:
  • Phone: 541-829-0338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number092000247
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: