Individual
THERESA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VIRGINIA AVE STE 201, NORTH BEND, OR 97459-3444
(541) 751-0357
(541) 751-9985
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 751-0357
(541) 751-9985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201408548LPN
OR
Other
Enumeration date
03/04/2016
Last updated
06/28/2021
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