Davis, Terry L

Davis, Terry L is an individual health care provider with primary practice located at 29345 Sw Town Center Loop E Suite 110, Wilsonville OR 97070-8486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Terry L can be contacted via phone (503) 582-2100.

Contact Information

Primary practice address
29345 Sw Town Center Loop E Suite 110 Wilsonville OR 97070-8486
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OR MD15876 Oregon

Profile Details

NPI number 1821179151
LBN Legal business name Davis, Terry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821179151 NPPES
Oregon Other P00981420 RR MEDICARE
Oregon MEDICAID 021287 RR MEDICARE

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