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Individual

THEA E NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Mailing address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045-4076
(503) 655-8471
(503) 655-8595

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201243933
OR

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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