Whalio Doctors

NPI 1457432890

Michael Marcus Terry, PSYD

Practitioner Clinical Psychologist Gladstone, OR

Practice location

Address
880 82nd Dr, Gladstone, OR 97027-1803
Phone
(503) 659-5515
Fax
(503) 659-1994

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1216 (OR)

Registry record

NPI
1457432890
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Oct 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.