Individual
TERRI J DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 S COAST HWY STE 1, SOUTH BEACH, OR 97366-9667
(541) 574-5960
Mailing address
91 NE 73RD ST, NEWPORT, OR 97365-9505
(541) 265-5942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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