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Organization
MARK A TERRY MD PC
Active
Organization
MARK A TERRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A TERRY MD (PRESIDENT)
(503) 413-6467
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, #200, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Mailing address
1040 NW 22ND AVE, #200, PORTLAND, OR 97210
(503) 413-8202
(503) 413-6937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
12/26/2012
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