Individual
SCOTT TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3180 W CLEARWATER AVE STE A, KENNEWICK, WA 99336-2765
(509) 547-2204
(509) 545-3960
Mailing address
8606 W 1ST AVE, KENNEWICK, WA 99336-9407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP60754062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205253184
—
WA
Enumeration date
03/27/2014
Last updated
03/15/2018
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