Individual
THERESA ST MICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 304-2372
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 304-2372
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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