Provider Demographics
NPI:1033265327
Name:MCDONALD, TERRI-LYNN HEIDI (QMHP)
Entity Type:Individual
Prefix:MS
First Name:TERRI-LYNN
Middle Name:HEIDI
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12280 SE ONE ROSA DR
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97015-7320
Mailing Address - Country:US
Mailing Address - Phone:925-989-1885
Mailing Address - Fax:
Practice Address - Street 1:5120 SE 118TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-3250
Practice Address - Country:US
Practice Address - Phone:503-762-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health