Individual
TERESA ANN MCQUISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33125 SE WHITE OAK RD, CORVALLIS, OR 97333-2557
(541) 401-5755
Mailing address
395 W GRANT ST, LEBANON, OR 97355-1925
(541) 401-8580
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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