| Mark A. Terry, M.d., P.c. | |
|
1040 Nw 22nd Ave Suite N200 Portland OR 97210-3057 | |
| (503) 413-6223 | |
| Not Available |
| Full Name | Mark A. Terry, M.d., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1040 Nw 22nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Mark A. Terry (PRESIDENT) |
| Authorized Official Contact | 5034136223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Terry, M.d., P.c. 204 Se Stone Mill Dr Suite 200 Vancouver WA 98684-3544 Ph: (360) 514-9060 | Mark A. Terry, M.d., P.c. 1040 Nw 22nd Ave Suite N200 Portland OR 97210-3057 Ph: (503) 413-6223 |
| NPI Number | 1770769309 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770769309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD17016 (Oregon) | Primary |
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