Individual
TEODORA FETEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(971) 369-0571
Mailing address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(971) 369-0571
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
202101842RN
OR
163WP2201X
Ambulatory Care Registered Nurse
28257694A
IN
163WP2201X
Ambulatory Care Registered Nurse
RN61146911
WA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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