Individual
LORI M TERAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7820
(503) 494-7829
Mailing address
1 MEDICAL CENTER DR, CARDIOTHORACIC SURGERY, LEBANON, NH 03756-0001
(603) 650-8537
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1404
NH
363AS0400X
Surgical Physician Assistant
Primary
196149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114580
—
NH
Enumeration date
09/14/2018
Last updated
03/03/2020
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