Individual
TERESA BLANSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHN
Contact information
Practice address
426 SW STARK ST, 3RD FLOOR, PORTLAND, OR 97204-2347
(503) 988-3417
(503) 988-3419
Mailing address
421 SW OAK ST, STE. 210, PORTLAND, OR 97204-1817
(503) 988-3663
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201041511RN
OR
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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