Burris, Terry Eugene
Burris, Terry Eugene is an sole proprietor health care provider with primary practice located at 6950 Sw Hampton St Suite 150, Tigard OR 97223-8329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Burris, Terry Eugene can be contacted via phone (503) 624-4814.Contact Information
Primary practice address
6950 Sw Hampton St Suite 150
Tigard OR 97223-8329
Phone: (503) 624-4814
Fax: (503) 624-4904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 14736 | Oregon |
| Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X | 14736 | Oregon |
| Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X | 37155 | Washington |
Profile Details
| NPI number | 1114901758 |
|---|---|
| LBN Legal business name | Burris, Terry Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Apr 24th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114901758 | NPPES |
| Oregon | MEDICAID | 101394 | |
| Oregon | Other | 080030000 | |
| Oregon | Other | 2729230 | |
| Oregon | Other | C90918 |
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