Individual
TRENT B WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 SE THIRD AVE, CANBY, OR 97013-4560
(503) 266-5127
(503) 266-3821
Mailing address
1507 SE THIRD CT, CANBY, OR 97013-4560
(503) 266-5127
(503) 266-3821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22729
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286616
—
OR
Enumeration date
10/11/2006
Last updated
11/14/2011
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