Healthcare Provider Details

I. General information

NPI: 1750243713
Provider Name (Legal Business Name): VALERIE WELLS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 ROYAL AVE STE 130
MEDFORD OR
97504-6461
US

IV. Provider business mailing address

840 ROYAL AVE STE 130
MEDFORD OR
97504-6461
US

V. Phone/Fax

Practice location:
  • Phone: 541-951-3842
  • Fax:
Mailing address:
  • Phone: 541-951-3842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number200842771RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: