Terry Lee Petty is a Chiropractor in Portland, Oregon. Terry Lee Petty practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Terry Lee Petty is 1871615377. The last update date is 2013-10-09.
Terry Lee Petty's current location address is 16248 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5035467543 and fax number 5032557924. The mailing address for Terry Lee Petty is 16248 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terry Lee Petty |
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Address | 16248 Ne Glisan St, Portland, Oregon |
Phone Number | 5035467543 |
Fax Number | 5032557924 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1871615377 |
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Provider Enumeration Date | 2007-04-04 |
Last Updated Date | 2013-10-09 |
Provider Mailing Address Detail
Address | 16248 Ne Glisan St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972305833 |
Phone Number | 5035467543 |
Fax Number | 5032557924 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 272832 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Lee Petty by the Centers for Medicare & Medicaid Services (CMS)?
The Terry Lee Petty has been assigned the NPI (National Provider Identifier) 1871615377. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Terry Lee Petty's facilities are situated?
The facilities of Terry Lee Petty are physically located at the following address: 16248 Ne Glisan St, Portland, OR, 972305833.
What is Terry Lee Petty's area of expertise and its corresponding taxonomy classification?
The Terry Lee Petty's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Terry Lee Petty receive its 1871615377 assignment?
The Terry Lee Petty was assigned its 1871615377 on 2007-04-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Terry Lee Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Terry Lee Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-09.