Individual
TERESE UELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12001 NE STANTON ST, PORTLAND, OR 97220-1768
(503) 504-5724
Mailing address
12001 NE STANTON ST, PORTLAND, OR 97220-1768
(503) 504-5724
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10021582
OR
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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