Provider Demographics
NPI:1174755201
Name:PALMER, TERI LYNN (PHD)
Entity type:Individual
Prefix:MS
First Name:TERI
Middle Name:LYNN
Last Name:PALMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:TERI
Other - Middle Name:LYNN
Other - Last Name:LEWIS-PALMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:722 NE 162ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230
Mailing Address - Country:US
Mailing Address - Phone:503-255-4205
Mailing Address - Fax:503-255-5095
Practice Address - Street 1:3111 SANTIAM HWY SE
Practice Address - Street 2:STE 1 ALBERTINA KERR CENTERS - ALBANY
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322
Practice Address - Country:US
Practice Address - Phone:541-928-7257
Practice Address - Fax:541-928-9804
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst