Gardner, Teddy

Gardner, Teddy is an sole proprietor health care provider with primary practice located at 1623 Se Malden St , Portland OR 97202-6053. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Gardner, Teddy can be contacted via phone (503) 318-7975.

Contact Information

Primary practice address
1623 Se Malden St Portland OR 97202-6053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 110266590 Oregon

Profile Details

NPI number 1861924672
LBN Legal business name Gardner, Teddy
Credentials M.ED., PCC, WHE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2017
Last updated Mar 30th, 2017 - about 8 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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