Individual
DR. TERRY PATRICK TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
660 NW MURRAY BLVD, PORTLAND, OR 97229-5872
(503) 646-6166
Mailing address
660 NW MURRAY BLVD, PORTLAND, OR 97229-5872
(503) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1567ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229997
—
OR
Enumeration date
12/04/2006
Last updated
07/08/2007
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