Individual
TERI LEE ROSSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2461 SW PERKINS AVE, PENDLETON, OR 97801-4301
(541) 276-0250
(541) 276-0253
Mailing address
2461 SW PERKINS AVE, PENDLETON, OR 97801-4301
(541) 276-0250
(541) 276-0253
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006540
WA
363L00000X
Nurse Practitioner
RN00150128
WA
363LF0000X
Family Nurse Practitioner
Primary
200350059NP
OR
363LP2300X
Primary Care Nurse Practitioner
200350059NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298484
—
OR
05
—
9637703
—
WA
Enumeration date
07/26/2006
Last updated
05/03/2013
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