Individual
TREVOR HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 NE 3RD ST, PRINEVILLE, OR 97754-1921
(541) 323-7122
Mailing address
400 NE 3RD ST, PRINEVILLE, OR 97754-1921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99000365
OR
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
About Stedi
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