Individual
TERESA M. GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
840 RAILROAD STREET, BROOKINGS, OR 97415
(541) 440-1000
Mailing address
PO BOX 634, BROOKINGS, OR 97415-0003
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
40321
MT
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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