Individual
KRISTON DEANNE TEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
207 W 3RD ST, THE DALLES, OR 97058-1734
(541) 296-5452
Mailing address
207 W 3RD ST, THE DALLES, OR 97058-1734
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
12/23/2015
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