TERRY WAYNE SHORTRIDGE

LEBANON, OR
NPI1922028711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OR  MD16008)
Enumeration Date2006-07-21
Last Update Date2020-11-10
Business Address
Mr. TERRY WAYNE SHORTRIDGE MD
675 N 5TH ST
LEBANON, OR 97355-2875
Phone number: 541-451-6282
Mailing Address
Mr. TERRY WAYNE SHORTRIDGE MD
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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