Individual
MS. JEAN ANN TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(503) 257-3377
(503) 257-3432
Mailing address
11125 NE SANDY BLVD, PORTLAND, OR 97220-2555
(503) 257-3377
(503) 257-3432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5626
OR
Other
Enumeration date
03/27/2011
Last updated
03/27/2011
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