Dr. Terry L Davis, MD
Family Medicine in Wilsonville, OR. Individual provider (NPI-1).
NPI number1821179151
StatusActive
Last updated in NPPESMar 9, 2021
Details
- NPI
- 1821179151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Terry L Davis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Certification date
- Mar 9, 2021
- Last updated
- Mar 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OR MD15876 | OR | Yes |
Practice location
29345 Sw Town Center Loop ESuite 110
Wilsonville, OR 97070-8486
Phone 503-582-2100
Mailing address
Po Box 3158Portland, OR 97208-3158
Phone 503-215-6494
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