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Individual

TREVOR PROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2575 WESTGATE BLDG 2, PENDLETON, OR 97801-9613
(541) 240-8030
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/01/2017
Last updated
03/01/2017
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