Individual
TERA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, DNP
Contact information
Practice address
1998 SE CENTURY BLVD, HILLSBORO, OR 97123-8300
(503) 844-2840
(503) 844-2851
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150123NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653102
—
OR
Enumeration date
09/07/2012
Last updated
03/29/2016
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