MR. TERRY LEE PETTY DC NPI 1871615377

NPI Information

NPI: 1871615377
Provider Name: MR. TERRY LEE PETTY, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
16248 NE GLISAN ST
PORTLAND, OR
ZIP 97230
Phone: (503) 546-7543
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MR. Terry Lee Petty, DC is a chiropractor in Portland, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MR. Terry Lee Petty, DC NPI is 1871615377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16248 NE GLISAN ST
PORTLAND, OR
ZIP 97230-833
Phone: (503) 546-7543
Fax: (503) 255-7924

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		272832	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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