Organization · Type 2 NPI

Mark A. Terry, M.d., P.c.

Clinic/Center · Portland, OR

NPI number 1770769309 Active

Practice location

1040 NW 22nd Ave, Suite N200
Portland, OR 97210-3057

Mailing address

204 SE Stone Mill Dr, Suite 200
Vancouver, WA 98684-3544

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XMD17016 (OR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1770769309

Mark A. Terry, M.d., P.c.'s National Provider Identifier is 1770769309, issued on Jan 14, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2008.