Individual
TEAGAN S AHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 NW OVERTON ST, PORTLAND, OR 97210-2927
(503) 241-6051
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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