Individual
TERRY SHAWN CROMBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 634, PORTLAND, OR 97225-6632
(503) 216-6662
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD22953
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286660
—
OR
Enumeration date
07/29/2006
Last updated
02/19/2021
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