Individual provider · Type 1 NPI
Teresa Ann Martisak, RN CDE
Diabetes Educator Registered Nurse · Medford, OR
NPI number
1225150741
Active
Practice location
1698 E Mcandrews Rd, Suite 170
Medford, OR 97504-5589
Fax (541) 732-7901
Mailing address
PO Box 3158
Portland, OR 97208-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 086006602 (OR) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1225150741
Teresa Ann Martisak, RN CDE's National Provider Identifier is 1225150741, issued on Apr 4, 2007. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Medford, OR. The record was last updated on Dec 4, 2012.