EDUARDO TELLEZ
NPI 1972210722
Counselor - Mental Health in Fairview, OR
Active since November 01, 2022
About Eduardo Tellez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDUARDO TELLEZ (NPI 1972210722) is an individual mental health provider in Fairview, Oregon and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1972210722
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDUARDO TELLEZ
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorNo
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1972210722 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1945 NE 205TH AVE, Fairview, OR 97024
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
FAIRVIEW, OR 97024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972210722, enumerated as an "individual" on November 01, 2022.
The provider is located at 1945 NE 205TH AVE FAIRVIEW, OR 97024 and the phone number is (503) 661-8050.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
