NPI 1063549129

Shelly Leigh Wetzell, PTDA

Practitioner Dental Assistant Clackamas, OR

Practice location

Address: 10209 SE Sunnyside Rd, Clackamas, OR 97015-9782
Phone: (503) 353-3900
Mailing address: 7820 SE Aspen Summit Dr #64, Portland, OR 97266-6155

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 5965855 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1063549129
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2007
Record last updated: 8 Jul 2007

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.