Individual
DR. DAVID L TERLETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4900 SW GRIFFITH DR, SUITE 161, BEAVERTON, OR 97005
(503) 526-0138
(503) 213-6018
Mailing address
4900 SW GRIFFITH DR, SUITE 161, BEAVERTON, OR 97005
(503) 526-0138
(503) 213-6018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1283
OR
103TC0700X
Clinical Psychologist
PY 2250
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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