Individual
TEALAH MAE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 393-4273
Mailing address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 393-4273
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
3254709
OR
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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