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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TEAGUE, JARRELL HASKELL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: SUNNYSIDE MEDICAL CENTER
DEPT OF RADIOLOGY
10180 SUNNYSIDE RD
CLACKAMAS OR 97015

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 9217
Dated: 6/12/1970
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: / 1969
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SUNNYSIDE MEDICAL CENTER
DEPT OF RADIOLOGY
10180 SUNNYSIDE RD
CLACKAMAS OR 97015

Phone #:
Fax #:

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