Provider Demographics
NPI:1538287453
Name:HARRINGTON, TERRY D (MS)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:D
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:TERRY
Other - Middle Name:D
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 5203
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-0203
Mailing Address - Country:US
Mailing Address - Phone:503-399-9033
Mailing Address - Fax:
Practice Address - Street 1:565 UNION ST NE
Practice Address - Street 2:208-209
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2477
Practice Address - Country:US
Practice Address - Phone:503-399-9033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist