Individual
ELIJAH TEAL-CRIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 220-1013
Mailing address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 220-1013
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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