Most Relevant Information
Provider Data
| NPI Number: | 1003475625 |
| Provider Name: | CHELSEA NICOLE TERRITO OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 4466 |
Most Important Dates
| Enumeration Date: | 06/07/2019 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
18070 NW EVERGREEN PKWY
BEAVERTON
OR
970067451
Practice Location Phone/Fax
| Phone: | 9713483174 |
| Fax: | 5034398862 |
Provider Mailing Location
18070 NW EVERGREEN PKWY
BEAVERTON
OR
970067451
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |