Individual
AMY TREVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18795 SW BOONES FERRY RD, TUALATIN, OR 97062-8412
(503) 691-9046
Mailing address
18795 SW BOONES FERRY RD, TUALATIN, OR 97062-8412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9913
OR
Other
Enumeration date
10/04/2013
Last updated
11/10/2020
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