Rosselle, Teri Lee

Rosselle, Teri Lee is an individual health care provider with primary practice located at 2461 Sw Perkins Ave , Pendleton OR 97801-4301. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rosselle, Teri Lee can be contacted via phone (541) 276-0250.

Contact Information

Primary practice address
2461 Sw Perkins Ave Pendleton OR 97801-4301
Phone: (541) 276-0250
Fax: (541) 276-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006540 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN00150128 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200350059NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 200350059NP Oregon

Profile Details

NPI number 1548284391
LBN Legal business name Rosselle, Teri Lee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 3rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548284391 NPPES
Washington MEDICAID 9637703
Washington MEDICAID 298484

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