Individual
FAITH KAITLYN TREWHELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 SE 97TH AVE STE 180, CLACKAMAS, OR 97015-7903
(971) 206-6337
Mailing address
182 RASPBERRY LN, WOODLAND, WA 98674-7218
(360) 773-7621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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