Individual
DR. NICHOLAS W TELEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3203 WILLAMETTE ST, EUGENE, OR 97405-3348
(541) 726-9912
(541) 744-4443
Mailing address
3203 WILLAMETTE ST, EUGENE, OR 97405-3348
(541) 726-9912
(541) 744-4443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD17401
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031091
—
OR
Enumeration date
04/27/2006
Last updated
09/09/2008
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