Individual
TERRY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31700 FAYETTEVILLE DR, SHEDD, OR 97377-9779
(458) 233-6100
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4687
OR
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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