Individual
DR. TERRY ELIZABETH DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PHD
Contact information
Practice address
6863 EAGLE HARBOR DR NE, BAINBRIDGE ISLAND, WA 98110-3103
(260) 660-6199
(206) 238-9777
Mailing address
6863 EAGLE HARBOR DR NE, BAINBRIDGE ISLAND, WA 98110-3103
(206) 660-6199
(206) 238-9777
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
AP30000194
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
AP30000194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9605122
—
WA
Enumeration date
08/25/2005
Last updated
11/14/2014
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