Whalio Doctors

NPI 1013396019

Debra Lelm

Practitioner Specialist Gresham, OR

Practice location

Address
4101 NE Division St, Gresham, OR 97030-4617
Phone
(503) 666-6575
Mailing address
35450 SE Divers Rd, Estacada, OR 97023-8437

Registered specialties (2)

Specialist Primary
Other Service Providers Taxonomy 174400000X
Peer Specialist
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1013396019
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 May 2015
Record last updated
22 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.