Diana Teem
Individual provider Active NPI Counselor · Toledo, OR
NPI 1376060145 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1376060145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 321 SE 3Rd St
Toledo, OR 97391-1613 - Phone
- (541) 336-2254
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
321 SE 3Rd St
Toledo, OR 97391-1613
Mailing address
321 SE 3Rd St
Toledo, OR 97391-1613
Phone (541) 336-2254
Other providers in Toledo, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.