Individual
TEAL REAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SW CENTURY DR, BEND, OR 97702-1048
(541) 318-3436
Mailing address
19 SW CENTURY DR, BEND, OR 97702-1048
(541) 318-3436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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