person
Lori M Teraoka, PA
Surgical Physician Assistant in Portland, Oregon
NPI 1629551668

Lori M Teraoka is a Surgical Physician Assistant based in Lebanon, OR and is specialized in Surgical. Lori M Teraoka practices in Portland, OR and has the professional credentials of PA. The NPI Number for Lori M Teraoka is 1629551668 and holds a License No. 1404 (Oregon).

The current practice location address for Lori M Teraoka is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-7820 and via fax at 503-494-7829.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 03756-0001
person
Provider Profile Details
NPI Number
1629551668
Provider Name
Lori M Teraoka
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 03756-0001
Phone Number
503-494-7820
Fax Number
503-494-7829
Provider Enumeration Date
09/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3114580 05 NH
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7820
Fax Number
503-494-7829
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7820
Fax Number
503-494-7829
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1404 (New Hampshire)
Definition
Definition to come...
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