Individual
DR. TERRYLYNN TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13765 NW CORNELL RD STE 100, PORTLAND, OR 97229-5363
(503) 643-9855
(603) 661-6596
Mailing address
13765 NW CORNELL RD STE 100, PORTLAND, OR 97229-5363
(503) 643-9855
(603) 661-6596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6534
OR
Other
Enumeration date
09/16/2005
Last updated
11/12/2020
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