Individual
TERRIE LYNNE KLOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21185 NW WEST UNION RD, HILLSBORO, OR 97124
(503) 206-9472
Mailing address
4890 NW NESKOWIN AVE, PORTLAND, OR 97229
(503) 206-9472
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
BAP-TA-792578
OR
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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