Individual
TREVOR DANIEL GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 SW LEE ST, NEWPORT, OR 97365-3823
(541) 574-5960
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202108017RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
202108017RN
OR
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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