Individual
SHANNON ROSE TESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN NP
Contact information
Practice address
PO BOX 348, MOLALLA, OR 97038-0348
(503) 756-7885
Mailing address
PO BOX 348, MOLALLA, OR 97038-0348
(503) 756-7885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10030182
OR
363LF0000X
Family Nurse Practitioner
10030182
OR
Other
Enumeration date
09/05/2024
Last updated
07/30/2025
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