Individual
TRENT WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 SE MORRISON ST, PORTLAND, OR 97214
(971) 421-5259
Mailing address
PO BOX 13037, PORTLAND, OR 97213-0037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
09/09/2024
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