Individual
WILLY ZEBULON TERRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 758-5047
Mailing address
PO BOX 1418, CORVALLIS, OR 97339-1418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
281878
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD213940
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2013
Last updated
08/18/2023
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