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1154334621
VICKI LYNNE TERRY
PORTLAND, OR
NPI
1154334621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 200150106NP)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- VICKI LYNNE TERRY NP
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
-- VICKI LYNNE TERRY NP
6645 SW NYBERG LN
TUALATIN, OR 97062-8225
Phone number: 503-502-7231
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