Teresa Ann Martisak RN CDE

NPI 1225150741 - Registered Nurse - 163WD0400X

NPI Details
NPI 1225150741
Gender Female
Enumeration Date 04/04/2007
Last Updated 12/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1698 E MCANDREWS RD
SUITE 170
MEDFORD OR, 97504-5589, US
Phone (541) 732-6957
Fax (541) 732-7901
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (541) 732-6957
Fax (541) 732-7901
Toxanomy
Taxonomy Code 163WD0400X
License State Oregon
License Number 086006602
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According to our database, Mrs. Teresa Ann Martisak RN CDE NPI is 1225150741, taxonomy code is 163WD0400X and license number is 086006602, license state is located at Oregon. Teresa Ann Martisak RN CDE physically located at 1698 E Mcandrews Rd, Medford OR, 97504-5589. NPI Number Teresa Ann Martisak RN CDE has the Individual type.

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1225150741 NPI number is provided on an as is basis without warranty of any kind. 1225150741 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Ann Martisak RN CDE are for informational purposes only.