Organization
TRENT B. WARREN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEB SCHULTZ (BOOK KEEPER)
(503) 709-8869
Entity
Organization
Contact information
Practice address
1507 SE 3RD CT, CANBY, OR 97013-4560
(503) 266-5127
(503) 266-3821
Mailing address
1507 SE 3RD 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
04/23/2007
Last updated
01/20/2010
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