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Contact Information

MARK A TERRY, MD
1040 NW 22ND AVE
#200
PORTLAND, OR97210
 Phone: 503-413-8202
 Fax: 503-413-6937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARK A TERRY · (Male)

NPI Number 1760498737
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 07/08/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OR License # MD17016
  • OR Medicaid 016514
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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