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Individual

TERESA MARIE VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(503) 472-4020
(503) 472-8630
Mailing address
1536 E 3RD ST APT 1, NEWBERG, OR 97132-3227
(971) 419-8969

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
04/06/2022
Last updated
04/11/2022
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