Individual
DIANA TEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Mailing address
321 SE 3RD ST, TOLEDO, OR 97391-1613
(541) 336-2254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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