Individual
MR. TERRY LEE PARTHEMORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420
(707) 423-3400
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(707) 423-3400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
095000604RN
OR
Other
Enumeration date
06/05/2007
Last updated
07/05/2018
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