Individual
DR. TERROL DUANE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
714 SW DORION AVE, PENDLETON, OR 97801-2086
(541) 276-2372
(541) 276-2411
Mailing address
714 SW DORION AVE, PENDLETON, OR 97801-2086
(541) 276-2372
(541) 276-2411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00357
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00357
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234444
—
OR
01
—
P00613653
RAILROAD MEDICARE
OR
Enumeration date
05/11/2006
Last updated
03/01/2019
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