Individual
DR. TREVOR JOHN CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
840 A ST, SPRINGFIELD, OR 97477-4710
(541) 747-0616
(541) 747-0617
Mailing address
840 A ST, SPRINGFIELD, OR 97477-4710
(541) 747-0616
(541) 747-0617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2697ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208294
—
OR
01
—
3011
LIPA
OR
Enumeration date
04/26/2006
Last updated
01/02/2015
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