Individual
TERYL GRAYBEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1418 PINE ST UNIT 1, SILVERTON, OR 97381-1344
(503) 910-6862
Mailing address
1418 PINE ST UNIT 1, SILVERTON, OR 97381-1344
(503) 910-6862
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-17211
OR
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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