Individual
TREVOR D HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3303 SW BOND AVE MAIL CODE: CH3T, OREGON HEALTH & SCIENCES UNIVERSITY, PORTLAND, OR 97239
(503) 418-2406
Mailing address
14655 KASEL CT NE, AURORA, OR 97002-9445
(503) 789-4221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-750170
OR
Other
Enumeration date
06/13/2006
Last updated
04/16/2014
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