Individual
TREVOR CHARLES MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
16412 SW LUKE LN, TIGARD, OR 97223-5707
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64876
OR
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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