Mark a. Terry, M.D., P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD17016 Issued in OR

Legal business name

MARK A. TERRY, M.D., P.C.

Practice address

1040 NW 22ND Ave
Suite N200
Portland, OR 97210-3057

Phone

(503) 413-6223

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Terry, MDNPI 1760498737

Title

President

Phone

(503) 413-6223

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Terry, MD

  • Cornea and External Diseases Specialist Physician
  • Portland, OR
  • NPI 1760498737
  NPD (past) Authorized official
• Michael David Straiko, M.D.

  • Cornea and External Diseases Specialist Physician
  • Portland, OR
  • NPI 1013127075
  NPD

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1770769309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SE STONE MILL DR",
            "address_2": "SUITE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843544",
            "telephone_number": "360-514-9060",
            "fax_number": "360-514-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE N200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-413-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. TERRY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-413-6223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD17016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Christopher Marino, PT, MSPT
• Kurt Marion, LMT
• Carina Mariscal Diaz, MS
• Mark a Crislip
• Mark a Terry MD PC
• Mark G. Dillon, PH.D.
• Mark J Rushford DDS PC
• Mark J. Butterfield, D.C.
• Mark J. Morrow, MD
• Mark Steven Metzger MD PC

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.