Individual
MRS. TERESA WEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5371 BARGER DR, EUGENE, OR 97402-6203
(541) 852-0753
Mailing address
PO BOX 334, ELMIRA, OR 97437-0334
(541) 852-0753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200730276LPN
OR
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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