Organization
MARK A. TERRY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. TERRY MD (PRESIDENT)
(503) 413-6223
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE N200, PORTLAND, OR 97210-3057
(503) 413-6223
Mailing address
204 SE STONE MILL DR, SUITE 200, VANCOUVER, WA 98684-3544
(360) 514-9060
(360) 514-9041
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD17016
OR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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