Individual
JUAN DAVID TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 LINCOLN ST, EUGENE, OR 97401-2516
(503) 809-9741
Mailing address
557 MARY NEAL LN, CRESWELL, OR 97426-9555
(651) 485-2589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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