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Individual

TERYL JAN CLENDENIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
5331 SW MACADAM AVE, SUITE 209, PORTLAND, OR 97239
(503) 567-1062
Mailing address
5331 SW MACADAM AVE, SUITE 209, PORTLAND, OR 97239
(503) 567-1062

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201392026NP
OR

Other

Enumeration date
09/18/2013
Last updated
07/16/2015
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