Individual
TERESA JOANN BURACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PNEUR3, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CR-131, PORTLAND, OR 97239-3098
(503) 494-6976
(503) 494-7499
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD28344
OR
Other
Enumeration date
04/24/2008
Last updated
08/01/2008
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