Individual
DR. NICHOLAS STEVEN TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3620 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-3785
(541) 768-4810
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34.009952
OH
207X00000X
Orthopaedic Surgery Physician
58.003147
OH
207X00000X
Orthopaedic Surgery Physician
5828
OK
207X00000X
Orthopaedic Surgery Physician
DO034459
DC
207X00000X
Orthopaedic Surgery Physician
Primary
DO174975
OR
Other
Enumeration date
08/11/2009
Last updated
11/11/2020
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