Basic Information
| Provider Information | |||||||||
| NPI: | 1497741854 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURNBULL | ||||||||
| FirstName: | TERESA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3455 SW US VETERANS HOSPITAL RD | ||||||||
| Address2: | 5S ROOM 571 | ||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972393076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9737353688 | ||||||||
| FaxNumber: | 5034183256 | ||||||||
| Practice Location | |||||||||
| Address1: | 51377 SW OLD PORTLAND RD | ||||||||
| Address2: | |||||||||
| City: | SCAPPOOSE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970564023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034184222 | ||||||||
| FaxNumber: | 5034184223 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2005 | ||||||||
| LastUpdateDate: | 05/07/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00084900 | NJ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 201350113NP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.