NPI Registry.org

Terrie Lynne Klotz

NPI Registration Record

Provider / OrganizationNPIDate Certified
TERRIE LYNNE KLOTZ12953237152021-01-10
Entity TypeIndividual
Provider Name Terrie Lynne Klotz
Practice Office Address21185 NW WEST UNION RD
HILLSBORO, OR US
Practice Office Telephone5032069472
Mailing Address4890 NW NESKOWIN AVE
PORTLAND, OR 97229 US
Business Telephone5032069472
HPT Codes
CodeLicense NoState
246ZA2600X PRIMARYBAP-TA-792578 OR
193400000X SINGGroup Code
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162