Individual
LAUREN MICHELLE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 EDGEWATER ST. NW, SALEM, OR 97304-3293
(503) 378-7529
(503) 480-1611
Mailing address
3420 BROKEN ARROW LOOP NW, SALEM, OR 97304-3293
(814) 881-8643
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201604076RN
OR
363LF0000X
Family Nurse Practitioner
Primary
F09240410
OR
Other
Enumeration date
08/08/2023
Last updated
12/17/2024
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