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Individual

TREVOR MOTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
981 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 758-0766
(541) 753-2737
Mailing address
981 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 758-0766
(541) 753-2737

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2257
NV
363A00000X
Physician Assistant
Primary
PA2257497
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194350983
NV
01
PA2257
STATE LICENSE
NV
Enumeration date
03/11/2020
Last updated
03/17/2026
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