Individual
DR. TERRY EUGENE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 SW HAMPTON ST, SUITE 150, TIGARD, OR 97223-8329
(503) 624-4814
(503) 624-4904
Mailing address
6950 SW HAMPTON ST, SUITE 150, TIGARD, OR 97223-8329
(503) 624-4814
(503) 624-4904
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14736
OR
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
14736
OR
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
37155
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080030000
REGENCE BLUE CROSS
OR
05
—
101394
—
OR
01
—
2729230
CIGNA INSURANCE
OR
01
—
C90918
PROVIDENCE
OR
Enumeration date
12/06/2005
Last updated
04/24/2017
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