Individual
MR. MITCHELL RAY TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
71 CENTENNIAL LOOP STE A, EUGENE, OR 97401-2443
(541) 858-8170
Mailing address
3587 HEATHROW WAY # OR97504, MEDFORD, OR 97504-4004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7207
OR
Other
Enumeration date
02/06/2009
Last updated
12/31/2018
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