Individual
JENNIFER TROTTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Mailing address
29430 SE LUSTED RD, GRESHAM, OR 97080-8979
(503) 267-1316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
19-QMHA-I-00221
OR
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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