Provider Demographics
NPI:1043241383
Name:TRUHLER, TERRENCE D (MD)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:D
Last Name:TRUHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 TIETON DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3345
Mailing Address - Country:US
Mailing Address - Phone:509-965-1770
Mailing Address - Fax:509-966-5459
Practice Address - Street 1:4001 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3345
Practice Address - Country:US
Practice Address - Phone:509-965-1770
Practice Address - Fax:509-966-5459
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014005208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA33519Medicare UPIN
WA199703/199803Medicare ID - Type Unspecified