Individual
DAVID TERPEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6920 SE DIVISION ST, PORTLAND, OR 97206-1271
(503) 914-8105
Mailing address
6920 SE DIVISION ST, PORTLAND, OR 97206-1271
(503) 914-8105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230057LPN
OR
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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