Individual
TERRI POCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 NE 6TH AVE, PORTLAND, OR 97232-2903
(503) 477-9531
Mailing address
119 NE 6TH AVE, PORTLAND, OR 97232-2903
(503) 477-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
#19373
OR
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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