Whalio Doctors

NPI 1144866591

Asela Agtay Wells

Practitioner Dental Assistant Beaverton, OR

Practice location

Address
4855 SW Western Ave, Beaverton, OR 97005-3460
Phone
(503) 626-4148
Mailing address
13440 SW Castlewood St, Beaverton, OR 97005-1203

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 116705 (OR)

Registry record

NPI
1144866591
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Nov 2019
Record last updated
20 Nov 2019

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.