Teague, Lisa

Teague, Lisa is an sole proprietor health care provider with primary practice located at 511 Sw 10Th Ave Ste 1109 , Portland OR 97205-2712. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Teague, Lisa can be contacted via phone (503) 329-3577.

Contact Information

Primary practice address
511 Sw 10Th Ave Ste 1109 Portland OR 97205-2712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11219 Oregon

Profile Details

NPI number 1497936629
LBN Legal business name Teague, Lisa
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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