NPI 1194018564
Teresa J Waite, LD
Practice location
- Address
- 2381 NE Conners Ave, Bend, OR 97701-6068
- Phone
- (541) 678-6262
- Fax
- (541) 516-4039
- Mailing address
- PO Box 11470, Eugene, OR 97440-3670
Registered specialties
Denturist
Primary
Registry record
- NPI
- 1194018564
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 May 2011
- Record last updated
- 3 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.