Active NPI
Mark a Terry MD PC
- Ophthalmology Physician
- Portland, OR
National Provider Identifier
1972637528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MARK A TERRY MD PC
- Practice address
- 1040 NW 22ND Ave
#200
Portland, OR 97210 - Phone
- (503) 413-8202
- Fax
- (503) 413-6937
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark A Terry, MD
- Title
- President
- Phone
- (503) 413-6467
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave
#200
Portland, OR 97210
Mailing address
1040 NW 22ND Ave
#200
Portland, OR 97210
Phone (503) 413-8202
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cornea and External Diseases Specialist Physician
- Portland, OR
- NPI 1760498737
Ophthalmology
-
- Cornea and External Diseases Specialist Physician
- Portland, OR
- NPI 1013127075
Ophthalmology
-
- Cornea and External Diseases Specialist Physician
- New Haven, CT
- NPI 1083141550
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356480000000",
"number": "1972637528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "#200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-413-8202",
"fax_number": "503-413-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "#200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-413-8202",
"fax_number": "503-413-6937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A TERRY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2012-12-26",
"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": "503-413-6467",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.