Provider Demographics
NPI:1760505713
Name:STELLFLUG, TERRY LEE (DC DOCTOR OF CHIROPR)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:LEE
Last Name:STELLFLUG
Suffix:
Gender:M
Credentials:DC DOCTOR OF CHIROPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 E 1ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132
Mailing Address - Country:US
Mailing Address - Phone:503-538-7415
Mailing Address - Fax:503-538-7415
Practice Address - Street 1:1556 E 1ST
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132
Practice Address - Country:US
Practice Address - Phone:503-538-7415
Practice Address - Fax:503-538-7415
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor