Provider Demographics
NPI:1144649039
Name:TRUE, TERESA (ND)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:TRUE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 SW 10TH AVE STE 707
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2708
Mailing Address - Country:US
Mailing Address - Phone:503-894-8977
Mailing Address - Fax:833-551-4832
Practice Address - Street 1:511 SW 10TH AVE STE 707
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2708
Practice Address - Country:US
Practice Address - Phone:503-894-8977
Practice Address - Fax:833-551-4832
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2023175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath