IndividualActive
Annie Terry, MD
NPI 1811905342 · Pediatric Gastroenterology Physician · Portland, OR
Provider details
- NPI number
- 1811905342
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD10923 (OR)
Practice location
707 Sw Gaines St
Cdrcp
Portland, OR 97239-2901
Phone: (503) 494-1078
Fax: (503) 418-1377
Mailing address
707 Sw Gaines St
Portland, OR 97239-2901
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.