Terry, Annie Birthe
Terry, Annie Birthe is an individual health care provider with primary practice located at 707 Sw Gaines St Cdrcp, Portland OR 97239-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Terry, Annie Birthe can be contacted via phone (503) 494-1078.Contact Information
Primary practice address
707 Sw Gaines St Cdrcp
Portland OR 97239-2901
Phone: (503) 494-1078
Fax: (503) 418-1377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD10923 | Oregon |
Profile Details
| NPI number | 1811905342 |
|---|---|
| LBN Legal business name | Terry, Annie Birthe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 10th, 2007 - about 17 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 | 1811905342 | NPPES |
| Oregon | MEDICAID | 255497 |
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