Individual
RYAN MATTHEW TRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 BIRCH AVE, COTTAGE GROVE, OR 97424-1413
(541) 942-3939
(541) 942-3939
Mailing address
1245 BIRCH AVE, COTTAGE GROVE, OR 97424-1413
(541) 623-6068
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
02/19/2020
Last updated
03/30/2020
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