| Doctor Name: | TEAL BOHRER |
| NPI Number: | 1134459027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 24499 Sw Grahams Ferry Rd Wilsonville, OR - 970707523 |
| Business Phone Number: | 5032380769 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8459, PORTLAND |
| State: | OR |
| Postal Code: | 972078459 |
| Phone Number: | 5032380769 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2009 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |