Terrie Lynne Klotz

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

BAP-TA-792578 Issued in OR

Practice address

21185 NW West Union Rd
Hillsboro, OR 97124

Phone

(503) 206-9472

NPI assigned

Jan 10, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miss Alter Ego Salon, LLC

  • Medical Art Specialist/Technologist
  • Hillsboro, OR
  • NPI 1609409523

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1295323715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 NW NESKOWIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-206-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21185 NW WEST UNION RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "telephone_number": "503-206-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "TERRIE",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "OR",
            "license": "BAP-TA-792578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsie Smith Kirby
• Kelsie Marie Kirchner
• Evan Klein, PA-C
• Sharon Ann Klem, RN
• Jacob M Klingbeil, DPT
• Tanja A E Kluit, PHYSICAL THERAPY AS
• Megan Knickerbocker
• Jessica Beth Knight, PHARMD
• Nicohl Knight
• Nadja L Knighte, LMT

• Medical Art Specialist/Technologist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Medical Art Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.