Individual
LUKE TEGELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3517 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3769
(541) 768-5142
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO216415
OR
207Q00000X
Family Medicine Physician
PG205495
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/14/2017
Last updated
10/28/2024
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