Individual
TERESA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2485 RIVERVIEW ST, EUGENE, OR 97403-3213
(541) 485-0789
Mailing address
2485 RIVERVIEW ST, EUGENE, OR 97403-3213
(541) 485-0789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6648
OR
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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