Individual
TERESA LONDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
2442 NE 48TH AVE, PORTLAND, OR 97213-1922
(503) 232-0191
(503) 232-0138
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
077038793N6PMHNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP0808X
—
OR
Enumeration date
02/23/2007
Last updated
07/08/2007
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